This log is also available as text (s05289.txt) and as a (binary) annotation file (s05289.log).
Generated: Monday, 07-Jun-2010 13:20:18 EDT
(All dates below are surrogates.)
t0: [20:37:21 18/02/2008] tf: [14:23:47 26/02/2008] id: a40424 [view]
t0: [14:58:59 18/02/2008] tf: [14:21:59 26/02/2008] id: a40424n [view]
t0: [18:49:50 18/02/2008] tf: [14:35:02 19/02/2008] id: a41694 [view]
t0: [18:48:59 18/02/2008] tf: [14:33:59 19/02/2008] id: a41694n [view]
dd: 4279 ds: 1 ld: CARDIAC DYSRHYTHMIA NOS
dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE
dd: 42789 ds: 1 ld: CARDIAC DYSRHYTHMIAS NEC dd: 7851 ds: 2 ld: PALPITATIONS
dd: 4240 ds: 2 ld: MITRAL VALVE DISORDER dd: 4241 ds: 3 ld: AORTIC VALVE DISORDER dd: 4279 ds: 1 ld: CARDIAC DYSRHYTHMIA NOS
dd: 78650 ds: 1 ld: CHEST PAIN NOS dd: 79431 ds: 2 ld: ABNORM ELECTROCARDIOGRAM
dd: 42789 ds: 1 ld: CARDIAC DYSRHYTHMIAS NEC
dd: 42781 ds: 2 ld: SINOATRIAL NODE DYSFUNCT dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE dd: V4501 ds: 3 ld: CARDIAC PACEMAKR IN SITU
dd: 4538 ds: 1 ld: VENOUS THROMBOSIS NEC
dd: 4538 ds: 1 ld: VENOUS THROMBOSIS NEC
dd: 72981 ds: 1 ld: SWELLING OF LIMB
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 79092 ds: 1 ld: ABNORM COAGULAT PROFILE
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 42731 ds: 1 ld: ATRIAL FIBRILLATION
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 42781 ds: 2 ld: SINOATRIAL NODE DYSFUNCT dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE dd: V4501 ds: 3 ld: CARDIAC PACEMAKR IN SITU
dd: 42731 ds: 1 ld: ATRIAL FIBRILLATION
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 42781 ds: 2 ld: SINOATRIAL NODE DYSFUNCT dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE dd: V4501 ds: 3 ld: CARDIAC PACEMAKR IN SITU
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 2 ld: THROMBOPHLEBITIS NEC dd: 78605 ds: 1 ld: SHORTNESS OF BREATH
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 42781 ds: 2 ld: SINOATRIAL NODE DYSFUNCT dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE dd: V4501 ds: 3 ld: CARDIAC PACEMAKR IN SITU
dd: 45189 ds: 1 ld: THROMBOPHLEBITIS NEC
dd: 4414 ds: 1 ld: ABDOM AORTIC ANEURYSM dd: 5932 ds: 2 ld: CYST OF KIDNEY, ACQUIRED dd: 72293 ds: 3 ld: DISC DIS NEC/NOS-LUMBAR
dd: 42731 ds: 2 ld: ATRIAL FIBRILLATION dd: 4294 ds: 3 ld: HRT DIS POSTCARDIAC SURG dd: 78609 ds: 1 ld: RESPIRATORY ABNORM NEC
dd: 51889 ds: 2 ld: OTHER LUNG DISEASE NEC dd: 5932 ds: 3 ld: CYST OF KIDNEY, ACQUIRED dd: 78605 ds: 1 ld: SHORTNESS OF BREATH
dd: 7062 ds: 1 ld: SEBACEOUS CYST
dd: 2865 ds: 2 ld: HEMORRHAGIC DISORDER DUE dd: 51889 ds: 1 ld: OTHER LUNG DISEASE NEC
dd: 42731 ds: 2 ld: ATRIAL FIBRILLATION dd: 42781 ds: 1 ld: SINOATRIAL NODE DYSFUNCT dd: V4501 ds: 3 ld: CARDIAC PACEMAKR IN SITU
dd: 2765 ds: 4 ld: HYPOVOLEMIA dd: 2859 ds: 7 ld: ANEMIA NOS dd: 2875 ds: 3 ld: THROMBOCYTOPENIA NOS dd: 4251 ds: 5 ld: HYPERTR OBSTR CARDIOMYOP dd: 4414 ds: 1 ld: ABDOM AORTIC ANEURYSM dd: 4414 ds: 6 ld: ABDOM AORTIC ANEURYSM dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS dd: 5849 ds: 2 ld: ACUTE RENAL FAILURE NOS dd: 78605 ds: 2 ld: SHORTNESS OF BREATH dd: 78909 ds: 3 ld: ABDOMIN PAIN OTHR SPEC S dd: V4501 ds: 8 ld: CARDIAC PACEMAKR IN SITU
tf: [16:40:00 07/10/2010] dt: 1096 cu: MICU de: FA7A
t0: [22:24:00 06/10/2010] id: BSA el: 1033 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] id: Admit Wt el: 1032 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] id: Allergy 1 el: 1020 cu: MICU cg: 1531 v1: No Known Drug Allergies t0: [22:24:00 06/10/2010] id: Diagnosis/op el: 1023 cu: MICU cg: 1531 v1: TRIPLE AAA;TELEMETRY t0: [22:24:00 06/10/2010] id: Service el: 1026 cu: MICU cg: 1531 v1: MED t0: [22:24:00 06/10/2010] id: Admit Ht el: 1034 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] id: Readmission el: 1014 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] id: Marital Status el: 1006 cu: MICU cg: 1531 v1: M t0: [22:24:00 06/10/2010] id: Religion el: 1000 cu: MICU cg: 1531 v1: NSP t0: [22:24:00 06/10/2010] id: Allergy 2 el: 1021 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] id: Ext el: 1010 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] id: PIN el: 1012 cu: MICU cg: 1531 t0: [22:24:00 06/10/2010] 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: [22:42:00 06/10/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.57 rs: Final st: NotStopd t0: [22:42:00 06/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [22:42:00 06/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [22:42:00 06/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [22:42:00 06/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [22:42:00 06/10/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.57 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 100 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [00:15:00 07/10/2010] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:15:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:15:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 07/10/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:15:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:15:00 07/10/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:15:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:15:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:15:00 07/10/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:15:00 07/10/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:15:00 07/10/2010] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [00:15:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:15:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [00:15:00 07/10/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [00:15:00 07/10/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [00:15:00 07/10/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [00:15:00 07/10/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:15:00 07/10/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:15:00 07/10/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:15:00 07/10/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:15:00 07/10/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:15:00 07/10/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [00:15:00 07/10/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:15:00 07/10/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:15:00 07/10/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:15:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:15:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:15:00 07/10/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:15:00 07/10/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:15:00 07/10/2010] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:15:00 07/10/2010] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:15:00 07/10/2010] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:15:00 07/10/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:15:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:15:00 07/10/2010] id: Previous Weight el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [00:15:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [00:15:00 07/10/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [00:15:00 07/10/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:15:00 07/10/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:15:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:15:00 07/10/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:15:00 07/10/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:15:00 07/10/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:15:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:15:00 07/10/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [00:15:00 07/10/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.2222 u1: Deg. C st: NotStopd t0: [00:15:00 07/10/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.6 u1: Deg. F st: NotStopd t0: [00:15:00 07/10/2010] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:15:00 07/10/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:15:00 07/10/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:15:00 07/10/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:15:00 07/10/2010] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:15:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 07/10/2010] id: Daily Weight el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [00:15:00 07/10/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:15:00 07/10/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:15:00 07/10/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [00:15:00 07/10/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [00:15:00 07/10/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:15:00 07/10/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [00:15:00 07/10/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [00:15:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [00:15:00 07/10/2010] tf: [16:40:00 07/10/2010] dt: 985 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [00:20:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:20:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:20:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:20:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:20:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:20:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:20:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [00:20:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:20:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:20:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:20:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:20:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd
t0: [01:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [01:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [02:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [02:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml st: Restart
t0: [02:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [03:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [03:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [03:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [03:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/10/2010] tf: [16:40:00 07/10/2010] dt: 820 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [03:00:00 07/10/2010] tf: [12:00:00 07/10/2010] dt: 540 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [23:00:00 07/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 07/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 07/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 1000 ap: none t0: [23:00:00 07/10/2010] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 1570 ap: none t0: [23:00:00 07/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 570 ap: none t0: [23:00:00 07/10/2010] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 835 ap: none t0: [23:00:00 07/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: 735 ap: none t0: [23:00:00 07/10/2010] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 835 ap: none t0: [23:00:00 07/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 735 ap: none
t0: [00:00:00 07/10/2010] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 1 u1: torr st: NotStopd t0: [00:00:00 07/10/2010] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Non-Rebreather st: NotStopd t0: [01:00:00 07/10/2010] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [01:00:00 07/10/2010] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [02:00:00 07/10/2010] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 07/10/2010] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd
t0: [04:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [04:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [04:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [04:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 07/10/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 07/10/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [04:00:00 07/10/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.6 u1: Deg. F st: NotStopd t0: [04:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [04:00:00 07/10/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/10/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/10/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 07/10/2010] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 07/10/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 07/10/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 07/10/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 07/10/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/10/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 07/10/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/10/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/10/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 07/10/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 07/10/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 07/10/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/10/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/10/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 07/10/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/10/2010] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 07/10/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/10/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 07/10/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 07/10/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 07/10/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 07/10/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 07/10/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 07/10/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 07/10/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [05:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 07/10/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [05:00:00 07/10/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [05:00:00 07/10/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [05:00:00 07/10/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [05:00:00 07/10/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 07/10/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [05:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [05:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/10/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [06:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [06:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [06:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [06:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [06:00:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [06:00:00 07/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.7 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.7 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 40.6 u1: % rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 14 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.5 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.7 rs: Final st: NotStopd
t0: [06:00:00 07/10/2010] id: BUN el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 588 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [07:30:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:30:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 07/10/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:30:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:30:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [07:30:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [07:30:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [07:30:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [07:30:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:30:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [07:30:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:30:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:30:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [08:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [08:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [08:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 07/10/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 07/10/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 07/10/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/10/2010] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 90 vu: ml t0: [08:00:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [08:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [06:00:00 07/10/2010] id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd
t0: [07:00:00 07/10/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 07/10/2010] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 07/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 07/10/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/10/2010] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 07/10/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 07/10/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 07/10/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [08:00:00 07/10/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [08:00:00 07/10/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [08:00:00 07/10/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 07/10/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 07/10/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/10/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 07/10/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/10/2010] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 07/10/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/10/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 07/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 07/10/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 07/10/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/10/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/10/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/10/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 07/10/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/10/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/10/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 07/10/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/10/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 07/10/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 07/10/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/10/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/10/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 07/10/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 07/10/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/10/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 07/10/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 07/10/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 07/10/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [09:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [09:00:00 07/10/2010] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 07/10/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [09:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 07/10/2010] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/10/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [10:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [10:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [10:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [10:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [11:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [11:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/10/2010] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [10:00:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [10:00:00 07/10/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:00:00 07/10/2010] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:00:00 07/10/2010] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 79 rs: Final st: NotStopd
id: .45% Normal Saline el: 1 cu: MICU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 07/10/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [10:00:00 07/10/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 07/10/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/10/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/10/2010] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/10/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [12:00:00 07/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/10/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 07/10/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 07/10/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 07/10/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [12:00:00 07/10/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [12:00:00 07/10/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [12:00:00 07/10/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 07/10/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 07/10/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/10/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/10/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 07/10/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/10/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/10/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 07/10/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 07/10/2010] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 07/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 5 u1: lpm st: NotStopd t0: [12:00:00 07/10/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/10/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 07/10/2010] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 07/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 07/10/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [12:00:00 07/10/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/10/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/10/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 07/10/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 07/10/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/10/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 07/10/2010] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 07/10/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 07/10/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/10/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/10/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 07/10/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 07/10/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 07/10/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 07/10/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 07/10/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 07/10/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 07/10/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 07/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml st: Stopped
t0: [12:00:00 07/10/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/10/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [12:00:00 07/10/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [13:00:00 07/10/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 07/10/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/10/2010] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/10/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 07/10/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: V Paced st: NotStopd t0: [13:00:00 07/10/2010] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 07/10/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 07/10/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/10/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [13:00:00 07/10/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 07/10/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 07/10/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/10/2010] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 240 vu: ml
t0: [14:00:00 07/10/2010] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 483 rs: Final st: NotStopd
t0: [14:00:00 07/10/2010] id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd
dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS
dd: 41511 ds: 9 ld: IATROG PULM EMBOL/INFARC dd: 42731 ds: 7 ld: ATRIAL FIBRILLATION dd: 4414 ds: 1 ld: ABDOM AORTIC ANEURYSM dd: 4589 ds: 2 ld: HYPOTENSION NOS dd: 5185 ds: 5 ld: POST TRAUM PULM INSUFFIC dd: 5770 ds: 8 ld: ACUTE PANCREATITIS dd: 5849 ds: 4 ld: ACUTE RENAL FAILURE NOS dd: 9971 ds: 6 ld: SURG COMPL-HEART dd: 9975 ds: 3 ld: SURG COMPL-URINARY TRACT dd: 99859 ds: 2 ld: OTHER POSTOP INFECTION
tf: [21:17:00 07/12/2010] dt: 56031 cu: C-SICU de: CCU
t0: [23:46:00 29/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd
t0: [23:46:00 29/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 217 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 217 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.85 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [23:46:00 29/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
id: Levophed-k el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip id: Levophed-k el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip id: Levophed-k el: 101 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 16 du: mcgkgmin rt: IV Drip id: Levophed-k el: 101 cu: C-SICU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions am: 16 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
tf: [07:00:00 30/10/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin v1: 100 u1: mg m2: D5W v2: 250 u2: ml tf: [12:00:00 08/11/2010] pt: Unit Dose rt: IV fr: Q6H fs: 0, 6, 12, 18 dn: 4 m1: Metoprolol v1: 5 u1: mg tf: [15:00:00 10/11/2010] pt: Unit Dose rt: SC fr: Q12H fs: 0, 12 dn: 2 m1: Heparin v1: 5000 u1: UNIT tf: [09:00:00 18/11/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml tf: [09:00:00 29/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 8 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [03:00:00 30/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 0 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml
id: OR Crystalloid el: 1 cu: C-SICU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR FFP el: 1 cu: C-SICU cg: RN io: OR FFP OR Intake du: ml rt: Intravenous Push id: OR Packed RBC's el: 1 cu: C-SICU cg: RN io: OR Packed RBC's OR Intake du: ml rt: Intravenous Push id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline IV Infusions du: ml rt: Intravenous Push id: Lactated Ringers el: 1 cu: C-SICU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push id: Carrier el: 1 cu: C-SICU cg: RN io: Carrier IV Infusions du: ml rt: Intravenous Push
t0: [00:45:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [00:45:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:45:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:45:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:45:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:45:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [00:45:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [00:45:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:45:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:45:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:45:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:45:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:45:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [00:45:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:45:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 35.2 u1: Deg. C st: NotStopd t0: [00:45:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 95.36 u1: Deg. F st: NotStopd t0: [00:45:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [01:00:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [01:00:00 30/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:00:00 30/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 30/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.2 st: NotStopd t0: [01:00:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 30/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 30/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [01:00:00 30/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [01:00:00 30/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 5.99 u1: L/min st: NotStopd t0: [01:00:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 30/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 30/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:00:00 30/10/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 30/10/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 30/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 30/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 30/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 91 u1: % st: NotStopd t0: [01:00:00 30/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:00:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:00:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 30/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:45:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:45:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:45:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:45:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:45:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:45:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [00:45:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:45:00 30/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:45:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:45:00 30/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:45:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:45:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [00:45:00 30/10/2010] tf: [08:00:00 03/11/2010] dt: 6195 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 30/10/2010] tf: [21:17:00 07/12/2010] dt: 55952 id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:56:00 30/10/2010] id: BSA el: 1033 cu: C-SICU cg: -1 v1: 2.14119 u1: m2 t0: [00:56:00 30/10/2010] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 90 u1: kg t0: [00:56:00 30/10/2010] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [00:56:00 30/10/2010] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: RUPTURED AAA t0: [00:56:00 30/10/2010] id: Service el: 1026 cu: C-SICU cg: -1 v1: VSU t0: [00:56:00 30/10/2010] id: Admit Ht el: 1034 cu: C-SICU cg: -1 v1: 71 u1: inches t0: [00:56:00 30/10/2010] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [00:56:00 30/10/2010] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [00:56:00 30/10/2010] id: Religion el: 1000 cu: C-SICU cg: -1 v1: NSP t0: [00:56:00 30/10/2010] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [00:56:00 30/10/2010] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [00:56:00 30/10/2010] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [00:56:00 30/10/2010] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
t0: [00:45:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Flat in Bed st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PA line v2: Right Subclavian st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:45:00 30/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:45:00 30/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:45:00 30/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:45:00 30/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:45:00 30/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [00:45:00 30/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:45:00 30/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [00:45:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:45:00 30/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:45:00 30/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:45:00 30/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:45:00 30/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:45:00 30/10/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd
id: Cisatracurium el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions am: 200 du: mgkghr rt: IV Drip
io: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ra: 6.75 ru: ml/hr
tf: [00:00:00 30/10/2010] pt: IV Piggyback rt: IV fr: TITRATE TO m1: Cisatracurium Besylate v1: 100 u1: mg m2: D5W v2: 250 u2: ml tf: [01:00:00 30/10/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 1-5 u1: mg tf: [01:00:00 30/10/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 1-5 u1: mg tf: [09:00:00 01/11/2010] pt: IV Piggyback rt: IV fr: TITRATE TO m1: Cisatracurium Besylate v1: 200 u1: mg m2: D5W v2: 250 u2: ml tf: [16:00:00 01/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 1 dn: 1 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions vo: 250 du: ml rt: Intravenous Push id: Platelets el: 1 cu: C-SICU cg: RN io: Platelets IV Infusions du: ml rt: Intravenous Push id: Cryoprecipitate el: 1 cu: C-SICU cg: RN io: Cryoprecipitate IV Drips du: ml rt: Intravenous Push
t0: [01:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [01:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [01:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [01:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 35.4 u1: Deg. C st: NotStopd t0: [01:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 95.72 u1: Deg. F st: NotStopd t0: [01:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:45:00 30/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 0 vu: ml nb: 1
t0: [01:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 30/10/2010] tf: [20:00:00 31/10/2010] dt: 2640 id: OR Crystalloid OR Intake el: 1 cu: C-SICU cg: RN ai: 209 vo: 7000 vu: ml t0: [00:00:00 30/10/2010] id: OR FFP OR Intake el: 1 cu: C-SICU cg: RN ai: 107 vu: ml t0: [00:00:00 30/10/2010] id: OR Packed RBC's OR Intake el: 1 cu: C-SICU cg: RN ai: 222 vu: ml t0: [00:00:00 30/10/2010] id: Platelets IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vu: ml t0: [00:00:00 30/10/2010] id: Cryoprecipitate IV Drips el: 1 cu: C-SICU cg: RN ai: 116 vu: ml t0: [00:00:00 30/10/2010] tf: [20:00:00 31/10/2010] dt: 2640 id: OR Out OR Urine el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [00:00:00 30/10/2010] tf: [20:00:00 31/10/2010] dt: 2640 id: OR Out EBL el: 1 cu: C-SICU cg: RN vo: 1500 vu: ml
t0: [01:00:00 30/10/2010] tf: [09:00:00 02/11/2010] dt: 4800 id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:15:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:15:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:15:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.48598 u1: ... st: NotStopd t0: [01:15:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:15:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:15:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:15:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:15:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:15:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.49875 u1: kg x m st: NotStopd t0: [01:15:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [01:15:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.8816 u1: g * m st: NotStopd t0: [01:15:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [01:15:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [01:15:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [01:15:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:15:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:15:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:15:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.96643 u1: kg * m st: NotStopd t0: [01:15:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.38785 u1: ... st: NotStopd t0: [01:15:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 31.2256 u1: g * m st: NotStopd t0: [01:15:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.5794 u1: g*m/m2 st: NotStopd t0: [01:15:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:15:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [01:15:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 992.481 u1: ... st: NotStopd t0: [01:15:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2120.48 u1: ... st: NotStopd t0: [01:15:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [01:15:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56 u1: ml st: NotStopd t0: [01:15:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:15:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 35.7 u1: Deg. C st: NotStopd t0: [01:15:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 96.26 u1: Deg. F st: NotStopd t0: [01:15:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.32 u1: L/min st: NotStopd
t0: [01:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vu: ml nb: 1 t0: [01:00:00 30/10/2010] tf: [23:00:00 31/10/2010] dt: 2760 id: D5W 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 30 vu: ml t0: [01:00:00 30/10/2010] tf: [04:00:00 30/10/2010] dt: 180 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 3.15 vu: ml t0: [01:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vu: ml nb: 1
t0: [01:15:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:15:00 30/10/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: XRAY st: NotStopd
t0: [01:20:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.13 rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.13 rs: Final st: NotStopd t0: [01:20:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd
t0: [01:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [01:30:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [01:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [01:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [01:30:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:30:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 35.9 u1: Deg. C st: NotStopd t0: [01:30:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 96.62 u1: Deg. F st: NotStopd t0: [01:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:30:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:30:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd
t0: [01:10:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33.3 u1: % rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 u1: gm/dl rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd
t0: [01:45:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:45:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:45:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:45:00 30/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [01:45:00 30/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:45:00 30/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [01:45:00 30/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:45:00 30/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [01:45:00 30/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [01:45:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [01:45:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:45:00 30/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:45:00 30/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [01:45:00 30/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [01:45:00 30/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:45:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [01:45:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:45:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:45:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:45:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:45:00 30/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [01:45:00 30/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [01:45:00 30/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [01:45:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [01:45:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:45:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:45:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:45:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.2 u1: Deg. C st: NotStopd t0: [01:45:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 97.16 u1: Deg. F st: NotStopd t0: [01:45:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.2 vu: ml
t0: [01:45:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Morphine Sulfate el: 100 cu: C-SICU cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions am: 100 du: mghr rt: IV Drip id: Insulin el: 100 cu: C-SICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ra: 10 ru: ml/hr
tf: [16:00:00 30/10/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Morphine Sulfate v1: 100 u1: mg m2: D5W v2: 100 u2: ml tf: [09:00:00 05/11/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 2 u1: mg
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions vo: 100 du: ml rt: Intravenous Push id: Dextrose 10% el: 1 cu: C-SICU cg: RN io: Dextrose 10% IV Infusions du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [01:10:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 33.3 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 33.3 rs: Final st: NotStopd
t0: [02:04:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.16 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 191 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -11 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.16 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 191 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:04:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [02:00:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [01:45:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [02:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [02:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [02:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 30/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [02:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [02:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [02:00:00 30/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 30/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [02:00:00 30/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 30/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/10/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Level One v2: On st: NotStopd t0: [02:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/10/2010] tf: [13:30:00 31/10/2010] dt: 2130 id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.8 vu: ml
t0: [02:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 30/10/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 30/10/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 2170 ap: none t0: [23:00:00 30/10/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 400 cv: 8720 ap: none
t0: [02:00:00 30/10/2010] tf: [21:17:00 07/12/2010] dt: 55877 id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml nb: 1 t0: [02:00:00 30/10/2010] tf: [13:30:00 31/10/2010] dt: 2130 id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [02:00:00 30/10/2010] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [01:10:00 30/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 50 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 237 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.9 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 73 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 50 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 237 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [01:10:00 30/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.9 rs: Final st: NotStopd
t0: [02:00:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [02:00:00 30/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 30/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [02:00:00 30/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [02:00:00 30/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 30/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 30/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [02:00:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 30/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 30/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 30/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 30/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 30/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 30/10/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [02:00:00 30/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:30:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [02:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [02:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:30:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [02:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:30:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [02:30:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [02:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:45:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:45:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:45:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:45:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:45:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:45:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [02:45:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [02:45:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:45:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:45:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:45:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:45:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:45:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [02:45:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [02:45:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 0 vu: ml nb: 1 t0: [02:00:00 30/10/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 0 vu: ml nb: 1
t0: [02:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 30/10/2010] tf: [08:00:00 04/11/2010] dt: 7530 id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:30:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:30:00 30/10/2010] tf: [11:05:00 30/10/2010] dt: 515 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:45:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:45:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.7 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:45:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:45:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:45:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:54:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.18 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 138 u1: mmHg rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.18 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.09 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:54:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 rs: Final st: NotStopd
t0: [23:00:00 30/10/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -78.75 cv: -78.75 ap: none t0: [23:00:00 30/10/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: 3161 pv: 321.25 cv: 19271.4 ap: none t0: [23:00:00 30/10/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: 3161 pv: 321.25 cv: 26646.4 ap: none t0: [23:00:00 30/10/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -78.75 cv: 17926.4 ap: none t0: [23:00:00 30/10/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -78.75 cv: 17926.4 ap: none
tf: [02:00:00 30/10/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 3 m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 2100 u2: ml tf: [17:00:00 31/10/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 3 dn: 0 m1: Insulin Human Regular v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [09:00:00 01/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 3 m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [03:01:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [03:00:00 30/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [03:00:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [03:00:00 30/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [03:00:00 30/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [03:00:00 30/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [03:00:00 30/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [03:00:00 30/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [03:00:00 30/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [03:00:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 30/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [03:00:00 30/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [03:00:00 30/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [03:00:00 30/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [03:00:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [03:00:00 30/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:00:00 30/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [03:00:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [03:00:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [03:00:00 30/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd t0: [03:30:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [03:30:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [03:30:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:30:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [03:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [03:30:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [03:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [03:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [03:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [03:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [03:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [03:00:00 30/10/2010] tf: [00:00:00 31/10/2010] dt: 1260 id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.2 vu: ml t0: [03:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [03:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:01:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 34.4 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 34.4 rs: Final st: NotStopd
t0: [04:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 1.96729 u1: ... st: NotStopd t0: [04:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 156 rs: Manual st: NotStopd t0: [04:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.8095 u1: kg x m st: NotStopd t0: [04:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [04:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 44.5536 u1: g * m st: NotStopd t0: [04:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.028 u1: g*m/m2 st: NotStopd t0: [04:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [04:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [04:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [04:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.88945 u1: kg * m st: NotStopd t0: [04:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.883178 u1: ... st: NotStopd t0: [04:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 17.5032 u1: g * m st: NotStopd t0: [04:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.17757 u1: g*m/m2 st: NotStopd t0: [04:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 18.2243 u1: ... st: NotStopd t0: [04:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1444.18 u1: ... st: NotStopd t0: [04:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 3086.29 u1: ... st: NotStopd t0: [04:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 38.6239 u1: ml st: NotStopd t0: [04:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 156 rs: Manual st: NotStopd t0: [04:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.21 u1: L/min st: NotStopd
t0: [03:00:00 30/10/2010] id: Platelets IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vu: ml uh: 1 t0: [04:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [04:00:00 30/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 0 vu: ml t0: [04:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/10/2010] tf: [05:00:00 05/11/2010] dt: 8700 id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 900 vu: ml t0: [04:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [03:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:10:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 196 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.6 u1: mEq/L rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 196 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.6 u1: mEq/L rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 rs: Final st: NotStopd
t0: [04:46:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.13 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -12 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 126 u1: mmHg rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.13 rs: Final st: NotStopd
t0: [04:46:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 176 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.9 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 176 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:46:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.9 rs: Final st: NotStopd
tf: [04:00:00 31/10/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 5 dn: 1 m1: Magnesium Sulfate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [04:00:00 31/10/2010] pt: Unit Dose rt: IV fr: ONCE fs: 5 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
id: Packed RBC's el: 1 cu: C-SICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push id: Fresh Frozen Plasma el: 1 cu: C-SICU cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [04:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [04:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [04:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [04:30:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:30:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:30:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [05:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [05:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [05:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [05:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [05:00:00 30/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 0 vu: ml t0: [05:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [04:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:30:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:30:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd
t0: [02:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [02:00:00 30/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [02:00:00 30/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 0 Eye Lid Twitch st: NotStopd t0: [04:00:00 30/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 30/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 30/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 30/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 30/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 30/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 30/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 30/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 30/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 30/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 30/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PA line v2: Right Subclavian st: NotStopd t0: [04:00:00 30/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 30/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 30/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [04:00:00 30/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 30/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [04:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [04:00:00 30/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Other/Remarks st: NotStopd t0: [04:00:00 30/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [04:00:00 30/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [04:00:00 30/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 30/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [04:00:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 30/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 30/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 30/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 30/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/10/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [04:00:00 30/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 30/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 30/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 30/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 30/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [04:00:00 30/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [04:30:00 30/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [04:30:00 30/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:40:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [05:00:00 30/10/2010] id: Family Communication el: 0 cu: C-SICU cg: RN st: NotStopd t0: [05:00:00 30/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [05:00:00 30/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [05:00:00 30/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 1 Eye Lid Twitch st: NotStopd t0: [05:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [05:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [05:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:30:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [05:30:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [05:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:30:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:30:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:23:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: 3161 v1: 2.94393 u1: ... st: NotStopd t0: [05:23:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [05:23:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: 3161 v1: 1659.86 u1: ... st: NotStopd t0: [05:23:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [05:23:00 30/10/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [05:23:00 30/10/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: 3161 v1: 6.30135 u1: L/min st: NotStopd t0: [05:30:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: 3161 v1: 774.603 u1: ... st: NotStopd
t0: [05:30:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd
t0: [04:00:00 30/10/2010] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml uh: 1 t0: [05:00:00 30/10/2010] id: Fresh Frozen Plasma IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml uh: 2
t0: [05:45:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 197 u1: mmHg rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd
t0: [05:45:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.95 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [05:45:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [06:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [06:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [06:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [06:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [06:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [06:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [05:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 30/10/2010] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [06:00:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [06:00:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd
t0: [06:00:00 30/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: -1 ai: 109 vo: 0 st: D/C'd
t0: [06:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [06:00:00 30/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [01:00:00 30/10/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vu: ml nb: 1
t0: [05:31:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33.1 u1: % rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.79 u1: /mic l rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd
t0: [05:31:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: Fibrinogen Coags el: 0 cu: C-SICU cg: 3161 v1: 218 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.4 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: Fibrinogen (150-400) Coags el: 0 cu: C-SICU cg: 3161 v1: 218 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [05:31:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.4 rs: Final st: NotStopd
t0: [06:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [06:30:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [06:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [06:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:30:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [06:30:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [06:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 30/10/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [06:45:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 149 u1: mmHg rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [06:45:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd
t0: [07:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [07:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [07:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [07:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [07:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [07:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.65 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:15:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:15:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:15:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:15:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:15:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [07:15:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:15:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [07:15:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [07:15:00 30/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [07:15:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:15:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [07:15:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:15:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:15:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [07:15:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:15:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [07:15:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [07:15:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:45:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:45:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:45:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:45:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [07:45:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:45:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [07:45:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [07:45:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:45:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:45:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:45:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:45:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [07:45:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:45:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [07:45:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [07:45:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:15:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 187.5 vu: ml t0: [07:15:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [07:15:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 8.4375 vu: ml
t0: [07:15:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:15:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.65 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:15:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:15:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:45:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.65 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:45:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [07:00:00 31/10/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 8 dn: 1 m1: Hespan v1: 500 u1: ml m2: NS v2: 500 u2: ml tf: [07:00:00 31/10/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Cosyntropin v1: 250 u1: mcg tf: [06:00:00 05/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Vasopressin v1: 100 u1: UNIT m2: D5W v2: 250 u2: ml tf: [21:00:00 31/12/2010] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [21:00:00 31/12/2010] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:05:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 140 u1: mmHg rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [08:05:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd
t0: [08:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [08:00:00 30/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 30/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 30/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 30/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 30/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 30/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 30/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 30/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 30/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 30/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 30/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 30/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 30/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PA line v2: Right Subclavian st: NotStopd t0: [08:00:00 30/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 30/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 30/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [08:00:00 30/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 30/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [08:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 30/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [08:00:00 30/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [08:00:00 30/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [08:00:00 30/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 30/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 30/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 30/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [08:00:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 30/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [08:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [08:00:00 30/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 30/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [08:00:00 30/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 30/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Absent st: NotStopd t0: [08:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 30/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 30/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 30/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 30/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 30/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 30/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 30/10/2010] id: Temperature C el: 0 cu: C-SICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [08:00:00 30/10/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [08:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 30/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 30/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 30/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 30/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 30/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 30/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 30/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 112.5 vu: ml t0: [08:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [08:00:00 30/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 700 vu: ml t0: [08:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 5.0625 vu: ml
t0: [08:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.65 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.07477 u1: ... st: NotStopd t0: [08:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.70995 u1: kg x m st: NotStopd t0: [08:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [08:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.344 u1: g * m st: NotStopd t0: [08:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [08:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.93229 u1: kg * m st: NotStopd t0: [08:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.901869 u1: ... st: NotStopd t0: [08:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.936 u1: g * m st: NotStopd t0: [08:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.1682 u1: g*m/m2 st: NotStopd t0: [08:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [08:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1171.17 u1: ... st: NotStopd t0: [08:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2512.08 u1: ... st: NotStopd t0: [08:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.8148 u1: ml st: NotStopd t0: [08:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.44 u1: L/min st: NotStopd
t0: [08:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
id: Vasopressin el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 100Umin Vasopressin IV Infusions am: 100 du: Umin rt: IV Drip
t0: [09:00:00 30/10/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [09:00:00 30/10/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [09:00:00 30/10/2010] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 100Umin Vasopressin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [03:01:00 30/10/2010] id: Fibrinogen Coags el: 0 cu: C-SICU cg: 3161 v1: 202 rs: Final st: NotStopd t0: [03:01:00 30/10/2010] id: Fibrinogen (150-400) Coags el: 0 cu: C-SICU cg: 3161 v1: 202 rs: Final st: NotStopd
t0: [09:00:00 30/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [09:00:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 30/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [09:00:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [09:00:00 30/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 30/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 30/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [09:00:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 30/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [09:00:00 30/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [09:00:00 30/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [09:00:00 30/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [09:00:00 30/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [09:00:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 30/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [09:00:00 30/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [09:00:00 30/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 30/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 30/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [09:00:00 30/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [09:00:00 30/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 30/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [09:00:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [09:00:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 30/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [09:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [09:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [09:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [09:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [09:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [09:30:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [09:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:30:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [09:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [09:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [09:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.65 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.45 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:30:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:52:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd
t0: [10:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [10:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [10:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [10:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 30/10/2010] tf: [05:30:00 05/11/2010] dt: 8370 id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 31/10/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 10 dn: 1 m1: Hespan v1: 500 u1: ml m2: NS v2: 500 u2: ml
t0: [10:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.25504 u1: kg x m st: NotStopd t0: [10:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.6896 u1: g * m st: NotStopd t0: [10:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: g*m/m2 st: NotStopd t0: [10:00:00 30/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [10:00:00 30/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 208.696 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 446.512 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [10:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.93936 u1: kg * m st: NotStopd t0: [10:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.906542 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.7664 u1: g * m st: NotStopd t0: [10:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [10:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1252.17 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2679.07 u1: ... st: NotStopd t0: [10:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.1176 u1: ml st: NotStopd t0: [10:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [10:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [10:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [10:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [10:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [10:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [10:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [10:25:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 148 u1: mmHg rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [10:25:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [10:25:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [11:00:00 30/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 30/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [11:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 30/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [08:00:00 30/10/2010] tf: [13:30:00 31/10/2010] dt: 1770 id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [09:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [10:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [10:00:00 30/10/2010] tf: [00:00:00 03/11/2010] dt: 5160 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 1 vu: ml t0: [11:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [11:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [11:00:00 30/10/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 1 vu: ml t0: [11:00:00 30/10/2010] tf: [13:30:00 31/10/2010] dt: 1590 id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [11:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [10:08:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.65 u1: /mic l rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [11:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [11:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.50528 u1: kg x m st: NotStopd t0: [11:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [11:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 64.6272 u1: g * m st: NotStopd t0: [11:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [11:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [11:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.68912 u1: kg * m st: NotStopd t0: [11:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.78972 u1: ... st: NotStopd t0: [11:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.8288 u1: g * m st: NotStopd t0: [11:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.25234 u1: g*m/m2 st: NotStopd t0: [11:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [11:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1356.52 u1: ... st: NotStopd t0: [11:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2902.33 u1: ... st: NotStopd t0: [11:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.1176 u1: ml st: NotStopd t0: [11:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [11:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [11:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [11:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [11:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [16:00:00 04/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 11 dn: 1 m1: Fluconazole v1: 200 u1: mg m2: NS v2: 100 u2: ml
t0: [11:05:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:05:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:05:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:05:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:05:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [11:05:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:05:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.1584 u1: g * m st: NotStopd t0: [11:05:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [11:05:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [11:05:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [11:05:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:05:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:05:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:05:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:05:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1321.74 u1: ... st: NotStopd t0: [11:05:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [11:05:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:05:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:05:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:05:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:05:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:05:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [11:05:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:08:00 30/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 49 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.9 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 49 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.9 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [10:08:00 30/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [08:00:00 30/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [08:00:00 30/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 30/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 30/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Reinforced st: NotStopd
t0: [11:00:00 30/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 700 vu: ml
t0: [11:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:30:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [11:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [11:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [11:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [11:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.47 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [08:00:00 04/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 32 u1: mg m2: D5W v2: 250 u2: ml tf: [20:00:00 13/11/2010] pt: Unit Dose rt: OU fr: QID:PRN m1: Lacri-Lube Oint v1: 1 u1: Appl tf: [08:00:00 07/12/2010] pt: Unit Dose rt: OU fr: PRN m1: Artificial Tears v1: 1-2 u1: DROP
t0: [12:04:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 159 u1: mmHg rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [12:04:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [12:04:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd
t0: [08:00:00 30/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [08:00:00 30/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 1 Eye Lid Twitch st: NotStopd t0: [11:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 130 t0: [12:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [12:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 113 t0: [12:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.27096 u1: kg x m st: NotStopd t0: [12:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.1752 u1: g * m st: NotStopd t0: [12:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [12:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [12:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [12:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.01824 u1: kg * m st: NotStopd t0: [12:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.943925 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.2288 u1: g * m st: NotStopd t0: [12:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8411 u1: g*m/m2 st: NotStopd t0: [12:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1056.6 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2258.06 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.9195 u1: ml st: NotStopd t0: [12:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [12:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [12:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [12:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [12:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.47 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 30/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [12:30:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 30/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [12:30:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:30:00 30/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:30:00 30/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:30:00 30/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.7 st: NotStopd t0: [12:30:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:30:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 30/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [12:30:00 30/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:30:00 30/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:30:00 30/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:30:00 30/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [12:30:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 30/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:30:00 30/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:30:00 30/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:30:00 30/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:30:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:30:00 30/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:30:00 30/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:30:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:30:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:30:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:30:00 30/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 30/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 166.038 u1: ... st: NotStopd t0: [12:00:00 30/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 354.839 u1: ... st: NotStopd
t0: [12:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [12:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [12:00:00 30/10/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 1 vu: ml t0: [12:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [12:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [12:00:00 30/10/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [08:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [09:00:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [12:00:00 30/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [12:00:00 30/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 30/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 30/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 30/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 30/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 30/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 30/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 30/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 30/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 30/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 30/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 30/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 30/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 30/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 30/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 30/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 30/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 30/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [12:00:00 30/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 30/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [12:00:00 30/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [12:00:00 30/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [12:00:00 30/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [12:00:00 30/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 30/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 30/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 30/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [12:00:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [12:00:00 30/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 30/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 30/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 30/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 30/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 30/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 30/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 30/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 30/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 30/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 30/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 30/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 30/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 30/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 30/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [13:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [13:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [13:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 117 t0: [13:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.75728 u1: kg x m st: NotStopd t0: [13:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [13:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 50.2656 u1: g * m st: NotStopd t0: [13:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: g*m/m2 st: NotStopd t0: [13:00:00 30/10/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1624 u1: kg * m st: NotStopd t0: [13:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [13:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [13:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [13:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [13:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.383 u1: ml st: NotStopd t0: [13:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [13:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [13:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [13:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [13:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [13:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [13:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [13:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [13:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.47 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [13:15:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:15:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [13:15:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:15:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [13:15:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [13:15:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 151 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [13:15:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [13:15:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:15:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:15:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:15:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:15:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:01:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [14:01:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd
t0: [14:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [14:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [14:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [14:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [14:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [14:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 115 t0: [14:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.12976 u1: kg * m st: NotStopd t0: [14:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.995327 u1: ... st: NotStopd t0: [14:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.8752 u1: g * m st: NotStopd t0: [14:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.7009 u1: g*m/m2 st: NotStopd t0: [14:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [14:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.0645 u1: ml st: NotStopd t0: [14:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [14:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [14:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [14:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [14:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 30/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 148.148 u1: ... st: NotStopd t0: [14:00:00 30/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 317.46 u1: ... st: NotStopd
t0: [13:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [13:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN u1: ... st: NotStopd t0: [13:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN u1: ... st: NotStopd t0: [13:15:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.6096 u1: kg x m st: NotStopd t0: [14:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [14:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 70.992 u1: g * m st: NotStopd t0: [14:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [14:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1170.37 u1: ... st: NotStopd t0: [14:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2507.94 u1: ... st: NotStopd
t0: [14:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 30/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Rusty v2: Thin st: NotStopd t0: [12:00:00 30/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.3 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.3 rs: Final st: NotStopd
t0: [14:00:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.1 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.1 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.2 u1: % rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 79 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.69 u1: /mic l rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.1 rs: Final st: NotStopd
t0: [14:42:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [14:42:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [14:00:00 30/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 49 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.9 u1: mg/dl rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.5 u1: mEq/L rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 49 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.9 u1: mg/dl rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.5 u1: mEq/L rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [14:00:00 30/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [15:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [15:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.10368 u1: kg x m st: NotStopd t0: [15:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.4352 u1: g * m st: NotStopd t0: [15:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [15:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [15:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:00:00 30/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [15:00:00 30/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 133.333 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 285.714 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.42352 u1: kg * m st: NotStopd t0: [15:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.13084 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.1728 u1: g * m st: NotStopd t0: [15:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.7103 u1: g*m/m2 st: NotStopd t0: [15:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 690.909 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1480.52 u1: ... st: NotStopd t0: [15:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 74.1573 u1: ml st: NotStopd t0: [15:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [15:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [15:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [15:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [15:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [15:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [15:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [15:00:00 30/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 700 vu: ml t0: [15:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [12:00:00 30/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [12:00:00 30/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [15:00:00 30/10/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [16:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [16:00:00 30/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [16:00:00 30/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 30/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 30/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [16:00:00 30/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 30/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 30/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 30/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 30/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 30/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 30/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 95 t0: [16:00:00 30/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 30/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 30/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 30/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [16:00:00 30/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 30/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 30/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 30/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 30/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 30/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [16:00:00 30/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 30/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [16:00:00 30/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [16:00:00 30/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [16:00:00 30/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [16:00:00 30/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.032 u1: kg x m st: NotStopd t0: [16:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [16:00:00 30/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 30/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 30/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.3456 u1: g * m st: NotStopd t0: [16:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [16:00:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [16:00:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 30/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [16:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:00:00 30/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 30/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 30/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 30/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 30/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 30/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.972 u1: kg * m st: NotStopd t0: [16:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.920561 u1: ... st: NotStopd t0: [16:00:00 30/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 30/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 30/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.2976 u1: g * m st: NotStopd t0: [16:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.95327 u1: g*m/m2 st: NotStopd t0: [16:00:00 30/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 30/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [16:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1024 u1: ... st: NotStopd t0: [16:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2188.03 u1: ... st: NotStopd t0: [16:00:00 30/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 30/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 30/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.3478 u1: ml st: NotStopd t0: [16:00:00 30/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [16:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [16:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [16:00:00 30/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [16:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:15:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:15:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:15:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:15:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:15:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:15:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [16:15:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [16:15:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:15:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:15:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:15:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:15:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [16:15:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:15:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [16:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [16:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [16:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [16:15:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:15:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 30/10/2010] tf: [19:00:00 04/11/2010] dt: 7620 id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 375 vu: ml
t0: [14:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 30/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [16:35:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [16:35:00 30/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd
t0: [23:00:00 30/10/2010] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: 3161 cv: 375 ap: none
tf: [01:00:00 04/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Morphine Sulfate v1: 100 u1: mg m2: D5W v2: 100 u2: ml
t0: [17:00:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 30/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 30/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd
t0: [17:20:00 30/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [17:20:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:20:00 30/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [17:20:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:20:00 30/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:20:00 30/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:20:00 30/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.7 st: NotStopd t0: [17:20:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:20:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:20:00 30/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [17:20:00 30/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [17:20:00 30/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [17:20:00 30/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:20:00 30/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [17:20:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:20:00 30/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [17:20:00 30/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [17:20:00 30/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:20:00 30/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:20:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:20:00 30/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:20:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [17:20:00 30/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [17:20:00 30/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [17:20:00 30/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [17:20:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [17:20:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [17:20:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [17:20:00 30/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [17:30:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:30:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd
t0: [17:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [17:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 89 t0: [17:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.26184 u1: kg x m st: NotStopd t0: [17:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [17:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.568 u1: g * m st: NotStopd t0: [17:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [17:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [17:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [17:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.01824 u1: kg * m st: NotStopd t0: [17:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.943925 u1: ... st: NotStopd t0: [17:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [17:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [17:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [17:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 935.849 u1: ... st: NotStopd t0: [17:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2000 u1: ... st: NotStopd t0: [17:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.5506 u1: ml st: NotStopd t0: [17:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [17:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [17:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [17:00:00 30/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd t0: [17:10:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:10:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:10:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:10:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:10:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [17:10:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.672 u1: g * m st: NotStopd t0: [17:10:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: g*m/m2 st: NotStopd t0: [17:10:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [17:10:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:10:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:10:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:10:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:10:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:10:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 845.283 u1: ... st: NotStopd t0: [17:10:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 87 u1: % st: NotStopd t0: [17:10:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [17:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5 vu: ml t0: [17:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [17:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [17:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [17:10:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:10:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:10:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:10:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd
t0: [17:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [17:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip
t0: [17:59:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:59:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [17:59:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [17:59:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [17:59:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [17:59:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [18:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [18:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 30/10/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [18:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [18:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [18:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 113 t0: [18:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.5892 u1: kg x m st: NotStopd t0: [18:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [18:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.828 u1: g * m st: NotStopd t0: [18:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.1121 u1: g*m/m2 st: NotStopd t0: [18:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40312 u1: kg * m st: NotStopd t0: [18:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.1215 u1: ... st: NotStopd t0: [18:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.5608 u1: g * m st: NotStopd t0: [18:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.4299 u1: g*m/m2 st: NotStopd t0: [18:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [18:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1010.53 u1: ... st: NotStopd t0: [18:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2165.41 u1: ... st: NotStopd t0: [18:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.6374 u1: ml st: NotStopd t0: [18:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [18:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [18:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [18:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [18:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6.5 vu: ml t0: [18:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [18:00:00 30/10/2010] tf: [06:00:00 31/10/2010] dt: 720 id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [18:00:00 30/10/2010] tf: [06:00:00 03/11/2010] dt: 5040 id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 150 vu: ml t0: [18:00:00 30/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 500 vu: ml t0: [18:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 10.125 vu: ml
t0: [18:00:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.1 u1: % rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.54 u1: /mic l rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd
t0: [18:00:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Fibrinogen Coags el: 0 cu: C-SICU cg: 3161 v1: 213 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 37.7 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Fibrinogen (150-400) Coags el: 0 cu: C-SICU cg: 3161 v1: 213 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 37.7 rs: Final st: NotStopd
t0: [18:00:00 30/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.8 u1: mg/dl rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.2 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 48 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.8 u1: mg/dl rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [18:00:00 30/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.2 rs: Final st: NotStopd
tf: [15:00:00 31/10/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 19 dn: 1 m1: Hespan v1: 500 u1: ml m2: NS v2: 500 u2: ml
id: Hespan el: 1 cu: C-SICU cg: RN io: Hespan IV Infusions du: ml rt: Intravenous Push
t0: [19:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [19:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [19:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [19:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 30/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 30/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [20:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [20:00:00 30/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [20:00:00 30/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 30/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 30/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 30/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 30/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 30/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 30/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 30/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 30/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 30/10/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 30/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 112 t0: [20:00:00 30/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 30/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 30/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [20:00:00 30/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 30/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [20:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 30/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 30/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [20:00:00 30/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [20:00:00 30/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [20:00:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 30/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 30/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.74424 u1: kg x m st: NotStopd t0: [20:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [20:00:00 30/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 30/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 30/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.1752 u1: g * m st: NotStopd t0: [20:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [20:00:00 30/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [20:00:00 30/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [20:00:00 30/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [20:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [20:00:00 30/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 30/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 30/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 30/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 122 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 30/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 30/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 30/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 30/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 30/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3256 u1: kg * m st: NotStopd t0: [20:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08879 u1: ... st: NotStopd t0: [20:00:00 30/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 30/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 30/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.888 u1: g * m st: NotStopd t0: [20:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.6355 u1: g*m/m2 st: NotStopd t0: [20:00:00 30/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 30/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 30/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 30/10/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [20:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [20:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [20:00:00 30/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 30/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 30/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 30/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.2903 u1: ml st: NotStopd t0: [20:00:00 30/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [20:00:00 30/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [20:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 30/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [20:00:00 30/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 30/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 30/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 30/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 30/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 30/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 30/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [20:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [20:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 400 vu: ml t0: [20:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 16 vu: ml t0: [20:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml t0: [20:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 27 vu: ml
t0: [19:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/10/2010] id: Rec. Breath Pressure el: 0 cu: C-SICU cg: RRT v1: 25 st: NotStopd t0: [20:00:00 30/10/2010] id: Rec.Breath Time(sec) el: 0 cu: C-SICU cg: RRT v1: 30 st: NotStopd t0: [20:00:00 30/10/2010] id: Recruit Breath el: 0 cu: C-SICU cg: RRT v1: CPAP st: NotStopd
t0: [21:00:00 30/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [21:00:00 30/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [21:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [21:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [21:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 100 t0: [21:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.916 u1: kg x m st: NotStopd t0: [21:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [21:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.32 u1: g * m st: NotStopd t0: [21:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [21:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [21:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [21:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [21:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 30/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.05088 u1: kg * m st: NotStopd t0: [21:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.957944 u1: ... st: NotStopd t0: [21:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.3376 u1: g * m st: NotStopd t0: [21:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [21:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [21:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 896.552 u1: ... st: NotStopd t0: [21:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1918.82 u1: ... st: NotStopd t0: [21:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.9091 u1: ml st: NotStopd t0: [21:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [21:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [21:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [21:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [21:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [21:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [21:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [21:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 13.5 vu: ml
t0: [21:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 30/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [21:00:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 30/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [21:00:00 30/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 30/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 30/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:00:00 30/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [21:00:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 30/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [21:00:00 30/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [21:00:00 30/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [21:00:00 30/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [21:00:00 30/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:00:00 30/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [21:00:00 30/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [21:00:00 30/10/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 30/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 30/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:00:00 30/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:00:00 30/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 30/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 728 u1: ml/B st: NotStopd t0: [21:00:00 30/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:00:00 30/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 30/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [21:10:00 30/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd
t0: [21:10:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd
tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [21:00:00 30/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [21:10:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 0.91 rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 30/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [22:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [22:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [22:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [22:00:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 109 t0: [22:00:00 30/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [22:00:00 30/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [22:00:00 30/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [22:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.12 u1: kg x m st: NotStopd t0: [22:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [22:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.34 u1: g * m st: NotStopd t0: [22:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [22:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [22:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 30/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 30/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [22:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1216 u1: kg * m st: NotStopd t0: [22:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.990654 u1: ... st: NotStopd t0: [22:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.6912 u1: g * m st: NotStopd t0: [22:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.0748 u1: g*m/m2 st: NotStopd t0: [22:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [22:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 853.333 u1: ... st: NotStopd t0: [22:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1828.57 u1: ... st: NotStopd t0: [22:00:00 30/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67.4157 u1: ml st: NotStopd t0: [22:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [22:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [22:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [22:00:00 30/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [22:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [22:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [22:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [22:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 30/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 700 vu: ml t0: [22:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 13.5 vu: ml
t0: [22:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [21:10:00 30/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: RN v1: 7.37 rs: Final st: NotStopd t0: [21:10:00 30/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: RN v1: 7.37 rs: Final st: NotStopd
t0: [22:30:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [22:30:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:30:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [22:30:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [22:30:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [22:00:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 63 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.45 u1: /mic l rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd
t0: [22:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [22:00:00 30/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [22:00:00 30/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd
t0: [22:00:00 30/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [22:00:00 30/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 30/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [23:00:00 30/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [23:00:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 30/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 30/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [23:00:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [23:00:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 30/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 104 t0: [23:00:00 30/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.5892 u1: kg x m st: NotStopd t0: [23:00:00 30/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [23:00:00 30/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 75.14 u1: g * m st: NotStopd t0: [23:00:00 30/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: g*m/m2 st: NotStopd t0: [23:00:00 30/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [23:00:00 30/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [23:00:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [23:00:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [23:00:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 30/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.17056 u1: kg * m st: NotStopd t0: [23:00:00 30/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.01402 u1: ... st: NotStopd t0: [23:00:00 30/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.752 u1: g * m st: NotStopd t0: [23:00:00 30/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [23:00:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 30/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [23:00:00 30/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1038.6 u1: ... st: NotStopd t0: [23:00:00 30/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2225.56 u1: ... st: NotStopd t0: [23:00:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 30/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.7727 u1: ml st: NotStopd t0: [23:00:00 30/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [23:00:00 30/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [23:00:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [23:00:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [23:00:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 30/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [23:00:00 30/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 30/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 30/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [23:00:00 30/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [23:00:00 30/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 6.75 vu: ml
t0: [23:00:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 30/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 36.3 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 36.3 rs: Final st: NotStopd
t0: [22:00:00 30/10/2010] tf: [00:00:00 31/10/2010] dt: 120 id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 500 vu: ml nb: 1
t0: [22:00:00 30/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.6 u1: mg/dl rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.6 u1: mg/dl rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [23:00:00 30/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [23:00:00 30/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [23:00:00 30/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 30/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 30/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [23:00:00 30/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 30/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 30/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 30/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [23:00:00 30/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 30/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd
t0: [23:30:00 30/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:30:00 30/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 30/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 30/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:30:00 30/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:30:00 30/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:30:00 30/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 30/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [23:30:00 30/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [23:30:00 30/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:30:00 30/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:30:00 30/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:30:00 30/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:30:00 30/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:30:00 30/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:30:00 30/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [23:30:00 30/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [23:30:00 30/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 30/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 30/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 30/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:30:00 30/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/10/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [23:00:00 30/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [23:00:00 30/10/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 400 ap: none t0: [23:00:00 30/10/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN pv: 250 cv: 4450 ap: none
t0: [00:00:00 31/10/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: -1 ai: 110 vo: 0 st: D/C'd
t0: [22:00:00 30/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.7 rs: Final st: NotStopd t0: [22:00:00 30/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: RN v1: 1.7 rs: Final st: NotStopd t0: [00:00:00 31/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 31/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [00:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [00:00:00 31/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [00:00:00 31/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 31/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 31/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [00:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 31/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 31/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 31/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 31/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 31/10/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 31/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 31/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 31/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 31/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [00:00:00 31/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 31/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [00:00:00 31/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [00:00:00 31/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [00:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 31/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.02208 u1: kg x m st: NotStopd t0: [00:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [00:00:00 31/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 31/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 31/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.3728 u1: g * m st: NotStopd t0: [00:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [00:00:00 31/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [00:00:00 31/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [00:00:00 31/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [00:00:00 31/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [00:00:00 31/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 31/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 31/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 31/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 31/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 31/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 31/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.12976 u1: kg * m st: NotStopd t0: [00:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.995327 u1: ... st: NotStopd t0: [00:00:00 31/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 31/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 31/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.2416 u1: g * m st: NotStopd t0: [00:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.7757 u1: g*m/m2 st: NotStopd t0: [00:00:00 31/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 31/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 31/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 31/10/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [00:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1051.85 u1: ... st: NotStopd t0: [00:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2253.97 u1: ... st: NotStopd t0: [00:00:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 31/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 31/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.5294 u1: ml st: NotStopd t0: [00:00:00 31/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [00:00:00 31/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [00:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 31/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 31/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [00:00:00 31/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 31/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 31/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 31/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 31/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 31/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [00:00:00 31/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [00:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [00:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [00:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [00:00:00 31/10/2010] id: Dextrose 10% IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [00:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [00:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml
t0: [00:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:01:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [01:01:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd
t0: [22:00:00 30/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: RN v1: 29.2 u1: % rs: Final st: NotStopd t0: [01:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [01:00:00 31/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [01:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [01:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [01:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 97 t0: [01:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [01:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [01:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [01:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.8344 u1: kg x m st: NotStopd t0: [01:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [01:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.8304 u1: g * m st: NotStopd t0: [01:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [01:00:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [01:00:00 31/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [01:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 31/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [01:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.0944 u1: kg * m st: NotStopd t0: [01:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.976636 u1: ... st: NotStopd t0: [01:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.9904 u1: g * m st: NotStopd t0: [01:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.215 u1: g*m/m2 st: NotStopd t0: [01:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [01:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 974.545 u1: ... st: NotStopd t0: [01:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2085.6 u1: ... st: NotStopd t0: [01:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [01:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [01:00:00 31/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [01:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [01:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [01:00:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [01:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [01:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [01:00:00 31/10/2010] tf: [13:30:00 31/10/2010] dt: 750 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [01:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml
t0: [01:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 31/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 29.1667 u1: ml/cmH st: NotStopd t0: [01:00:00 31/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [01:00:00 31/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 31/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 31/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 31/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [01:00:00 31/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:00:00 31/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [01:00:00 31/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [01:00:00 31/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:00:00 31/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [01:00:00 31/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:00:00 31/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 31/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [01:00:00 31/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [01:00:00 31/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 31/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [01:00:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 31/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 31/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd
t0: [01:45:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:45:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [01:45:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:45:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:45:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:45:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:45:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:45:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:45:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [01:45:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [01:45:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:45:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:45:00 31/10/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:45:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:45:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:45:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:45:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:45:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [01:45:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [01:45:00 31/10/2010] tf: [14:00:00 04/11/2010] dt: 6495 id: Platelets IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:45:00 31/10/2010] id: Platelets IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 236 vu: ml t0: [01:45:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4.5 vu: ml t0: [01:45:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 12.6562 vu: ml
t0: [01:45:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:45:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:55:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:55:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:55:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:55:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:55:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:55:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [01:55:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:55:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [01:55:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:55:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:55:00 31/10/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:55:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:55:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:55:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:55:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [01:55:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [01:55:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [02:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/10/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 50 vu: ml t0: [02:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [02:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 2 vu: ml t0: [02:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 1.5 vu: ml t0: [02:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 4.21875 vu: ml
t0: [01:55:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:55:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:55:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:55:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:01:00 31/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 0.94 rs: Final st: NotStopd t0: [01:01:00 31/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.6 rs: Final st: NotStopd
t0: [02:10:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:10:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:10:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [02:10:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:10:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:10:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:10:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:10:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:10:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:10:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:10:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:10:00 31/10/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:10:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:10:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:10:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:10:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [02:10:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [02:10:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:10:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:10:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:10:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:10:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [02:40:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:40:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:40:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:40:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:40:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:40:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:40:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:40:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [02:40:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [02:40:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [02:40:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:40:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:40:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:40:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:40:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:40:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:40:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:40:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:40:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:40:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [02:55:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:55:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:55:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [02:55:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:55:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:55:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:55:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:55:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:55:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [02:55:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [02:55:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 132 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [02:55:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:55:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:55:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:55:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:55:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:55:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:55:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [02:55:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [02:55:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:55:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 183.333 vu: ml t0: [02:55:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 9.16667 vu: ml t0: [02:55:00 31/10/2010] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 375 vu: ml t0: [02:55:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 7.33333 vu: ml t0: [02:55:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 5.5 vu: ml t0: [02:55:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 15.4688 vu: ml
t0: [02:55:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:55:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:55:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:55:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/10/2010] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 611 ap: none
t0: [02:55:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 89.148 u1: g * m st: NotStopd t0: [02:55:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 41.5888 u1: g*m/m2 st: NotStopd t0: [03:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [03:00:00 31/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [03:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [03:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [03:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 114 t0: [03:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [03:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [03:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.54256 u1: kg x m st: NotStopd t0: [03:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.50467 u1: ... st: NotStopd t0: [03:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 88.2096 u1: g * m st: NotStopd t0: [03:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 41.1215 u1: g*m/m2 st: NotStopd t0: [03:00:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [03:00:00 31/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [03:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [03:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 131 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [03:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [03:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.24672 u1: kg * m st: NotStopd t0: [03:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.0514 u1: ... st: NotStopd t0: [03:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.2752 u1: g * m st: NotStopd t0: [03:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.2897 u1: g*m/m2 st: NotStopd t0: [03:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [03:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1125.42 u1: ... st: NotStopd t0: [03:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2405.8 u1: ... st: NotStopd t0: [03:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.6047 u1: ml st: NotStopd t0: [03:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [03:00:00 31/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [03:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [03:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [03:00:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [03:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [03:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 16.6667 vu: ml t0: [03:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 0.833333 vu: ml t0: [03:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 0.666667 vu: ml t0: [03:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 0.5 vu: ml t0: [03:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 1.40625 vu: ml
t0: [03:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/10/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 31/10/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 60 cv: 1905 ap: none t0: [23:00:00 31/10/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 60 cv: 4585 ap: none
t0: [23:00:00 31/10/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 1475.09 cv: 1475.09 ap: none t0: [23:00:00 31/10/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 1535.09 cv: 11026.4 ap: none t0: [23:00:00 31/10/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 1535.09 cv: 13137.4 ap: none t0: [23:00:00 31/10/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 1475.09 cv: 8552.4 ap: none t0: [23:00:00 31/10/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 1475.09 cv: 26478.8 ap: none
t0: [03:05:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:05:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:05:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [03:05:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:05:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:05:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:05:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:05:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:05:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 83.5176 u1: g * m st: NotStopd t0: [03:05:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 39.2523 u1: g*m/m2 st: NotStopd t0: [03:05:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:05:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [03:05:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [03:05:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:05:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:05:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 9 u1: BPM st: NotStopd t0: [03:05:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:05:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:05:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [03:05:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [03:05:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:05:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:05:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:10:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:10:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:10:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [03:10:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:10:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [03:10:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:10:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:10:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:10:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:10:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:10:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 112 t0: [03:10:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.89928 u1: kg x m st: NotStopd t0: [03:10:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [03:10:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 76.2552 u1: g * m st: NotStopd t0: [03:10:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: g*m/m2 st: NotStopd t0: [03:10:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [03:10:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [03:10:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [03:10:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:10:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:10:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.09304 u1: kg * m st: NotStopd t0: [03:10:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.976636 u1: ... st: NotStopd t0: [03:10:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.1336 u1: g * m st: NotStopd t0: [03:10:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.7944 u1: g*m/m2 st: NotStopd t0: [03:10:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 3 u1: BPM st: NotStopd t0: [03:10:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [03:10:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1136.84 u1: ... st: NotStopd t0: [03:10:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2436.09 u1: ... st: NotStopd t0: [03:10:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:10:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:10:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.6374 u1: ml st: NotStopd t0: [03:10:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [03:10:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:10:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [03:10:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [03:10:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:10:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [03:10:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:10:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:10:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:10:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 31/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [03:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [03:15:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:15:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:15:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:15:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:15:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:15:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:15:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:15:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 74.5416 u1: g * m st: NotStopd t0: [03:15:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: g*m/m2 st: NotStopd t0: [03:15:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:15:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:15:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:15:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:15:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:15:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:15:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN st: NotStopd t0: [03:15:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:15:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:15:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [03:15:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [03:15:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:15:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:15:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:15:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:15:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:45:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:45:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:45:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:45:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:45:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:45:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [03:45:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:45:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:45:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:45:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [03:45:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [03:45:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:45:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:45:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN st: NotStopd t0: [03:45:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:45:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:55:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:55:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:55:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:55:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [03:55:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 82.1304 u1: g * m st: NotStopd t0: [03:55:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 38.3178 u1: g*m/m2 st: NotStopd t0: [03:55:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:55:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [03:55:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 139 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [03:55:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [03:55:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:55:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:55:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:55:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [04:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 31/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 31/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 31/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [04:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 31/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 31/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 31/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 31/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 31/10/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 31/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 121 t0: [04:00:00 31/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 31/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 31/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [04:00:00 31/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 31/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [04:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 31/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 31/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [04:00:00 31/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [04:00:00 31/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [04:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 31/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.35664 u1: kg x m st: NotStopd t0: [04:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [04:00:00 31/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 31/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 31/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.0272 u1: g * m st: NotStopd t0: [04:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [04:00:00 31/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [04:00:00 31/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [04:00:00 31/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [04:00:00 31/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 31/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [04:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 31/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 31/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 31/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:00:00 31/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 31/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/10/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 31/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.24808 u1: kg * m st: NotStopd t0: [04:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.0514 u1: ... st: NotStopd t0: [04:00:00 31/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 31/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 31/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.0584 u1: g * m st: NotStopd t0: [04:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.2617 u1: g*m/m2 st: NotStopd t0: [04:00:00 31/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 31/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 31/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 31/10/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [04:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 968.421 u1: ... st: NotStopd t0: [04:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2075.19 u1: ... st: NotStopd t0: [04:00:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [04:00:00 31/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 31/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [04:00:00 31/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.6383 u1: ml st: NotStopd t0: [04:00:00 31/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [04:00:00 31/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [04:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 31/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 31/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 31/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 31/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 31/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 31/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 31/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 31/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 31/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 31/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [04:00:00 31/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [04:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [04:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [04:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [04:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 31/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 700 vu: ml t0: [04:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml
t0: [03:45:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:45:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [03:55:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:55:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:55:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:55:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [04:30:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:30:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [04:30:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [04:30:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 8.4375 vu: ml
t0: [04:30:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:30:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [04:30:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:30:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:30:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:30:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:30:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:30:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [04:30:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [04:30:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:30:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:30:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:30:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:30:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:30:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:30:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [05:05:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [05:05:00 31/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 rs: Final st: NotStopd
t0: [05:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [05:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [05:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [05:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [05:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [05:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [05:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.33896 u1: kg x m st: NotStopd t0: [05:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [05:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 70.9104 u1: g * m st: NotStopd t0: [05:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [05:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [05:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [05:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 31/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [05:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.24672 u1: kg * m st: NotStopd t0: [05:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.0514 u1: ... st: NotStopd t0: [05:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.1328 u1: g * m st: NotStopd t0: [05:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.729 u1: g*m/m2 st: NotStopd t0: [05:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [05:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 935.593 u1: ... st: NotStopd t0: [05:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2000 u1: ... st: NotStopd t0: [05:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.2921 u1: ml st: NotStopd t0: [05:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [05:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [05:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [05:00:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [05:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [05:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [05:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [05:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [05:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 8.4375 vu: ml
t0: [05:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:24:00 31/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.9 u1: % rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 u1: gm/dl rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.79 u1: /mic l rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [05:00:00 31/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.8889 u1: ml/cmH st: NotStopd t0: [05:00:00 31/10/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 31/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [05:00:00 31/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 31/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 31/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 31/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [05:00:00 31/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [05:00:00 31/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [05:00:00 31/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [05:00:00 31/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 31/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [05:00:00 31/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [05:00:00 31/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 31/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 31/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 31/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 31/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 701 u1: ml/B st: NotStopd t0: [05:00:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [05:00:00 31/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 31/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [04:24:00 31/10/2010] id: Differential-Bands Hematology el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Differential-Basos Hematology el: 0 cu: C-SICU cg: 3161 v1: 0.1 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Differential-Eos Hematology el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Differential-Lymphs Hematology el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Differential-Monos Hematology el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Differential-Polys Hematology el: 0 cu: C-SICU cg: 3161 v1: 94.2 rs: Final st: NotStopd
t0: [04:24:00 31/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Fibrinogen Coags el: 0 cu: C-SICU cg: 3161 v1: 297 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.8 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Fibrinogen (150-400) Coags el: 0 cu: C-SICU cg: 3161 v1: 297 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.8 rs: Final st: NotStopd t0: [06:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [06:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [06:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.86976 u1: kg x m st: NotStopd t0: [06:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [06:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.728 u1: g * m st: NotStopd t0: [06:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [06:00:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [06:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [06:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [06:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 31/10/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [06:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [06:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.98016 u1: kg * m st: NotStopd t0: [06:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.925234 u1: ... st: NotStopd t0: [06:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [06:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [06:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [06:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1107.69 u1: ... st: NotStopd t0: [06:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2370.37 u1: ... st: NotStopd t0: [06:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.7701 u1: ml st: NotStopd t0: [06:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [06:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [06:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [06:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [06:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [06:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [06:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 31/10/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [06:00:00 31/10/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 0 vu: ml t0: [06:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml
t0: [06:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 31/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [04:24:00 31/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Uric Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 69 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 179 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [04:24:00 31/10/2010] id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
tf: [15:00:00 31/10/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 8 dn: 1 m1: Hespan v1: 500 u1: ml m2: NS v2: 500 u2: ml
t0: [07:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [07:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [07:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 31/10/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [08:00:00 31/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [08:00:00 31/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 31/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 31/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [08:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 31/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 31/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 31/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 31/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 31/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 31/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 31/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 31/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 108 t0: [08:00:00 31/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 31/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 31/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 31/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 31/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [08:00:00 31/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 31/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [08:00:00 31/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [08:00:00 31/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [08:00:00 31/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [08:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [08:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 31/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.79904 u1: kg x m st: NotStopd t0: [08:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 31/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 31/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 31/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.912 u1: g * m st: NotStopd t0: [08:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [08:00:00 31/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [08:00:00 31/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [08:00:00 31/10/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [08:00:00 31/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 31/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [08:00:00 31/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 31/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 31/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 31/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 31/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 31/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.98016 u1: kg * m st: NotStopd t0: [08:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.925234 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 31/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 31/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [08:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [08:00:00 31/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 31/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 31/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 31/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1015.38 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2172.84 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 31/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 31/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.7701 u1: ml st: NotStopd t0: [08:00:00 31/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [08:00:00 31/10/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd t0: [08:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 31/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 31/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/10/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 31/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 31/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 31/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 31/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 31/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 31/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [08:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 400 vu: ml t0: [08:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 16 vu: ml t0: [08:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml t0: [08:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 33.75 vu: ml t0: [08:00:00 31/10/2010] tf: [13:30:00 31/10/2010] dt: 330 id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 33.75 vu: ml
t0: [07:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [08:30:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:30:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:30:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:30:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [08:30:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:30:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:30:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:30:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:30:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [08:30:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:30:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:30:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:24:00 31/10/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd
t0: [08:46:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 184 u1: mmHg rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.09 rs: Final st: NotStopd t0: [08:46:00 31/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [09:00:00 31/10/2010] tf: [20:00:00 31/10/2010] dt: 660 id: Hespan IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 500 vu: ml
t0: [23:00:00 31/10/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
t0: [08:30:00 31/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.8889 u1: ml/cmH st: NotStopd t0: [08:30:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:30:00 31/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 31/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [08:30:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:30:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:30:00 31/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [08:30:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:30:00 31/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:30:00 31/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [08:30:00 31/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:30:00 31/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:30:00 31/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:30:00 31/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:30:00 31/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:30:00 31/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:30:00 31/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:30:00 31/10/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:30:00 31/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:30:00 31/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 708 u1: ml/B st: NotStopd t0: [08:30:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:30:00 31/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:30:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:30:00 31/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 31/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 184.615 u1: ... st: NotStopd t0: [08:00:00 31/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 395.062 u1: ... st: NotStopd t0: [08:30:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:30:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:30:00 31/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:30:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:30:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [08:30:00 31/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:30:00 31/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [09:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 115 t0: [09:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.916 u1: kg x m st: NotStopd t0: [09:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [09:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.4424 u1: g * m st: NotStopd t0: [09:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [09:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [09:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [09:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.972 u1: kg * m st: NotStopd t0: [09:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.920561 u1: ... st: NotStopd t0: [09:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.4808 u1: g * m st: NotStopd t0: [09:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.514 u1: g*m/m2 st: NotStopd t0: [09:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [09:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1200 u1: ... st: NotStopd t0: [09:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2564.1 u1: ... st: NotStopd t0: [09:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.4713 u1: ml st: NotStopd t0: [09:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 77 u1: % st: NotStopd t0: [09:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [09:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [09:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [09:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [09:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [09:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [09:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml
t0: [09:22:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd
t0: [09:30:00 31/10/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Other st: NotStopd t0: [09:30:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [09:30:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 137 u1: mmHg v2: 80 u2: mmHg st: NotStopd
t0: [09:00:00 31/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 550 vu: ml
t0: [09:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [09:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [10:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [10:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 128 t0: [10:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.8336 u1: kg x m st: NotStopd t0: [10:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.64486 u1: ... st: NotStopd t0: [10:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 91.8 u1: g * m st: NotStopd t0: [10:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 42.9907 u1: g*m/m2 st: NotStopd t0: [10:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [10:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [10:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.87232 u1: kg * m st: NotStopd t0: [10:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34112 u1: ... st: NotStopd t0: [10:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 33.66 u1: g * m st: NotStopd t0: [10:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 15.7477 u1: g*m/m2 st: NotStopd t0: [10:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: ... st: NotStopd t0: [10:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 937.5 u1: ... st: NotStopd t0: [10:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2006.69 u1: ... st: NotStopd t0: [10:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 75.2941 u1: ml st: NotStopd t0: [10:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 78 u1: % st: NotStopd t0: [10:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [10:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [10:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [10:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [10:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [10:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml
t0: [10:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:27:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [10:27:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [10:27:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [10:27:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [10:27:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [10:27:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
id: Levophed-k el: 102 cu: C-SICU cg: RN io: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions am: 32 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ra: 6.32813 ru: ml/hr
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [11:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [11:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 135 t0: [11:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.70304 u1: kg x m st: NotStopd t0: [11:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.59813 u1: ... st: NotStopd t0: [11:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 92.6976 u1: g * m st: NotStopd t0: [11:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 43.4579 u1: g*m/m2 st: NotStopd t0: [11:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [11:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.64792 u1: kg * m st: NotStopd t0: [11:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23832 u1: ... st: NotStopd t0: [11:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 31.8648 u1: g * m st: NotStopd t0: [11:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.9065 u1: g*m/m2 st: NotStopd t0: [11:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: ... st: NotStopd t0: [11:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1098.31 u1: ... st: NotStopd t0: [11:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2347.83 u1: ... st: NotStopd t0: [11:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 71.0843 u1: ml st: NotStopd t0: [11:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 78 u1: % st: NotStopd t0: [11:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [11:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [11:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [09:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml nb: 1 t0: [10:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml nb: 1 t0: [11:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [11:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [11:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [11:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [11:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml
t0: [11:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:15:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:15:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:15:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:15:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:15:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [11:15:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:15:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [11:15:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:15:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:15:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:15:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:30:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:30:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:30:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [11:30:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [11:30:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:30:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:30:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:30:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:15:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [11:30:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:15:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:30:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd
t0: [12:00:00 31/10/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.54464 u1: m2 st: NotStopd t0: [12:00:00 31/10/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.79547 u1: m2 st: NotStopd t0: [12:00:00 31/10/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd
t0: [12:07:00 31/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 46.1538 u1: ml/cmH st: NotStopd t0: [12:07:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:07:00 31/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [12:07:00 31/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:07:00 31/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:07:00 31/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:07:00 31/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [12:07:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:07:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:07:00 31/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [12:07:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:07:00 31/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:07:00 31/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:07:00 31/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [12:07:00 31/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:07:00 31/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:07:00 31/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:07:00 31/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:07:00 31/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:07:00 31/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:07:00 31/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:07:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:07:00 31/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [12:07:00 31/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 616 u1: ml/B st: NotStopd t0: [12:07:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:07:00 31/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:07:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:07:00 31/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 31/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 31/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [12:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [12:00:00 31/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [12:00:00 31/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 31/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 31/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [12:00:00 31/10/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 31/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 31/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 31/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 31/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 31/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 31/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 31/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 128 t0: [12:00:00 31/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 31/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 31/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 31/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 31/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 31/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 31/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 31/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 31/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 31/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [12:00:00 31/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 31/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [12:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 31/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [12:00:00 31/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [12:00:00 31/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [12:00:00 31/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [12:00:00 31/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.81168 u1: kg x m st: NotStopd t0: [12:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [12:00:00 31/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 31/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 31/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.072 u1: g * m st: NotStopd t0: [12:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [12:00:00 31/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [12:00:00 31/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 31/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 31/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [12:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [12:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 31/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 31/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 31/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 31/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 31/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 31/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 31/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.20864 u1: kg * m st: NotStopd t0: [12:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.03271 u1: ... st: NotStopd t0: [12:00:00 31/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 31/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 31/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.656 u1: g * m st: NotStopd t0: [12:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.4766 u1: g*m/m2 st: NotStopd t0: [12:00:00 31/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 31/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 31/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 31/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [12:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 662.069 u1: ... st: NotStopd t0: [12:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1416.97 u1: ... st: NotStopd t0: [12:00:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 31/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 31/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 69.8795 u1: ml st: NotStopd t0: [12:00:00 31/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 77 u1: % st: NotStopd t0: [12:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 31/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 31/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/10/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 31/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [12:15:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:15:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:15:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:15:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:15:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:15:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [12:15:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [12:15:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:15:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:15:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:15:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [12:15:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:15:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [12:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [12:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [12:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [12:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 6.32813 vu: ml
t0: [12:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [12:15:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:15:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:47:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [12:47:00 31/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd
t0: [13:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [13:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [13:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 113 t0: [13:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.7664 u1: kg x m st: NotStopd t0: [13:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [13:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.808 u1: g * m st: NotStopd t0: [13:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [13:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [13:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [13:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [13:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.802 u1: kg * m st: NotStopd t0: [13:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.841121 u1: ... st: NotStopd t0: [13:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.44 u1: g * m st: NotStopd t0: [13:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.4673 u1: g*m/m2 st: NotStopd t0: [13:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [13:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1056.6 u1: ... st: NotStopd t0: [13:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2258.06 u1: ... st: NotStopd t0: [13:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.25 u1: ml st: NotStopd t0: [13:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 77 u1: % st: NotStopd t0: [13:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [13:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [13:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [13:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [13:00:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [13:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [13:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [13:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 6.32813 vu: ml
t0: [13:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:46:00 31/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.2 u1: % rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.49 u1: /mic l rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd
t0: [12:46:00 31/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.4 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.4 rs: Final st: NotStopd
t0: [12:46:00 31/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7 u1: mg/dl rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 51 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7 u1: mg/dl rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [12:46:00 31/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5 rs: Final st: NotStopd
t0: [13:30:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: OR Sent st: NotStopd
t0: [15:30:00 31/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [15:30:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:30:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:30:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [15:30:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [15:30:00 31/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [15:30:00 31/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:30:00 31/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [15:30:00 31/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:30:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 31/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [15:30:00 31/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [15:30:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [15:30:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:30:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:30:00 31/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [15:30:00 31/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:30:00 31/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [15:30:00 31/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:30:00 31/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [15:30:00 31/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [15:30:00 31/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [15:30:00 31/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [15:30:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Flat in Bed st: NotStopd t0: [15:30:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:30:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 123 t0: [15:30:00 31/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: Flat in Bed st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [15:30:00 31/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 31/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [15:30:00 31/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [15:30:00 31/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [15:30:00 31/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [15:30:00 31/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [15:30:00 31/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [15:30:00 31/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [15:30:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 31/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 31/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 31/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [15:30:00 31/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:30:00 31/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [15:30:00 31/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [15:30:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.41048 u1: kg x m st: NotStopd t0: [15:30:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [15:30:00 31/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [15:30:00 31/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [15:30:00 31/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [15:30:00 31/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [15:30:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 44.1048 u1: g * m st: NotStopd t0: [15:30:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.5607 u1: g*m/m2 st: NotStopd t0: [15:30:00 31/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [15:30:00 31/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [15:30:00 31/10/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [15:30:00 31/10/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:30:00 31/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 31/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [15:30:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:30:00 31/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [15:30:00 31/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [15:30:00 31/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:30:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:30:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [15:30:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:30:00 31/10/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [15:30:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [15:30:00 31/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:30:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:30:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:30:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [15:30:00 31/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [15:30:00 31/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [15:30:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.66192 u1: kg * m st: NotStopd t0: [15:30:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.775701 u1: ... st: NotStopd t0: [15:30:00 31/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [15:30:00 31/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 31/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [15:30:00 31/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [15:30:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 16.6192 u1: g * m st: NotStopd t0: [15:30:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.75701 u1: g*m/m2 st: NotStopd t0: [15:30:00 31/10/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [15:30:00 31/10/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [15:30:00 31/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [15:30:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:30:00 31/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:30:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: ... st: NotStopd t0: [15:30:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 970.213 u1: ... st: NotStopd t0: [15:30:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2072.73 u1: ... st: NotStopd t0: [15:30:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: OR Received st: NotStopd t0: [15:30:00 31/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [15:30:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:30:00 31/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:30:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 47 u1: ml st: NotStopd t0: [15:30:00 31/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [15:30:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [15:30:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:30:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [15:30:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [15:30:00 31/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [15:30:00 31/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 31/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 31/10/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Blanket v2: On st: NotStopd t0: [15:30:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 31/10/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [15:30:00 31/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [15:30:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd t0: [16:00:00 31/10/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd
t0: [13:30:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vu: ml st: Stopped t0: [13:30:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml st: Stopped t0: [13:30:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml st: Stopped t0: [13:30:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml st: Stopped t0: [13:30:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vu: ml st: Stopped t0: [13:30:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml st: Stopped t0: [15:30:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vu: ml st: Restart t0: [15:30:00 31/10/2010] id: OR Crystalloid OR Intake el: 1 cu: C-SICU cg: RN ai: 209 vo: 1000 vu: ml t0: [15:30:00 31/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml st: Restart t0: [15:30:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml st: Restart t0: [15:30:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml st: Restart t0: [15:30:00 31/10/2010] id: OR Out OR Urine el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [15:30:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vu: ml st: Restart t0: [15:30:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vu: ml st: Restart
t0: [15:30:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:30:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 31/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 600 vu: ml
t0: [16:00:00 31/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [16:00:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 31/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [16:00:00 31/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 31/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 31/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 31/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [16:00:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 31/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 36.8 u1: Deg. C st: NotStopd t0: [16:00:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 31/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 31/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 31/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [16:00:00 31/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 31/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:00:00 31/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:00:00 31/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 31/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 31/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 31/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 31/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 617 u1: ml/B st: NotStopd t0: [16:00:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 31/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 31/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:49:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [16:49:00 31/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [12:46:00 31/10/2010] id: Vancomycin/Trough Drug Level el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [17:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 124 t0: [17:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.05472 u1: kg x m st: NotStopd t0: [17:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 74.256 u1: g * m st: NotStopd t0: [17:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: g*m/m2 st: NotStopd t0: [17:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [17:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [17:00:00 31/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 31/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 196.226 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 419.355 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [17:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.01824 u1: kg * m st: NotStopd t0: [17:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.943925 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.752 u1: g * m st: NotStopd t0: [17:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [17:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1071.7 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2290.32 u1: ... st: NotStopd t0: [17:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.4321 u1: ml st: NotStopd t0: [17:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [17:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [17:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [17:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [17:00:00 31/10/2010] tf: [05:00:00 02/11/2010] dt: 2160 id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 300 vu: ml t0: [17:00:00 31/10/2010] tf: [13:00:00 04/11/2010] dt: 5520 id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml t0: [17:00:00 31/10/2010] tf: [05:30:00 05/11/2010] dt: 6510 id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 9 vu: ml t0: [17:00:00 31/10/2010] tf: [21:17:00 07/12/2010] dt: 53537 id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 24 vu: ml t0: [17:00:00 31/10/2010] tf: [13:00:00 04/11/2010] dt: 5520 id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 9.6 vu: ml
t0: [17:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [17:57:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.06 rs: Final st: NotStopd
t0: [17:45:00 31/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.5 u1: % rs: Final st: NotStopd
t0: [15:30:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [18:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 123 t0: [18:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.62224 u1: kg x m st: NotStopd t0: [18:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [18:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.7696 u1: g * m st: NotStopd t0: [18:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [18:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [18:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [18:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [18:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.09032 u1: kg * m st: NotStopd t0: [18:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.976636 u1: ... st: NotStopd t0: [18:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.4528 u1: g * m st: NotStopd t0: [18:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [18:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [18:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 981.132 u1: ... st: NotStopd t0: [18:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2096.77 u1: ... st: NotStopd t0: [18:00:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [18:00:00 31/10/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.6279 u1: ml st: NotStopd t0: [18:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [18:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [18:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [18:00:00 31/10/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 31/10/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd t0: [18:45:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:45:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:45:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:45:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:45:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:45:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:45:00 31/10/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:45:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:45:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [18:45:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:45:00 31/10/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [18:45:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:45:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [18:45:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [18:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [18:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [18:00:00 31/10/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [18:00:00 31/10/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 0 vu: ml t0: [18:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [18:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 6.32813 vu: ml
t0: [18:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [18:45:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:45:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/10/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 250 ap: none
t0: [18:45:00 31/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd
t0: [17:45:00 31/10/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [17:45:00 31/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.7 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [17:45:00 31/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.7 rs: Final st: NotStopd
t0: [19:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [19:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 31/10/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [19:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 118 t0: [19:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.15712 u1: kg x m st: NotStopd t0: [19:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.3896 u1: g * m st: NotStopd t0: [19:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [19:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [19:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:00:00 31/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 250 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [19:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [19:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.02368 u1: kg * m st: NotStopd t0: [19:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.943925 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8744 u1: g * m st: NotStopd t0: [19:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.6355 u1: g*m/m2 st: NotStopd t0: [19:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [19:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.2593 u1: ml st: NotStopd t0: [19:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [19:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [19:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [19:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [19:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [19:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [19:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [19:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [19:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [19:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/10/2010] id: OR Crystalloid OR Intake el: 1 cu: C-SICU cg: -1 ai: 209 vo: 0 st: D/C'd t0: [20:00:00 31/10/2010] id: OR FFP OR Intake el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 31/10/2010] id: OR Packed RBC's OR Intake el: 1 cu: C-SICU cg: -1 ai: 222 vo: 0 st: D/C'd t0: [20:00:00 31/10/2010] id: Hespan IV Infusions el: 1 cu: C-SICU cg: -1 ai: 113 vo: 0 st: D/C'd t0: [20:00:00 31/10/2010] id: OR Out OR Urine el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd t0: [20:00:00 31/10/2010] id: OR Out EBL el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [20:11:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [20:11:00 31/10/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [20:00:00 31/10/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [20:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/10/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [20:00:00 31/10/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [20:00:00 31/10/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 31/10/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 31/10/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 31/10/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 31/10/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/10/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 31/10/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 31/10/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 31/10/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 31/10/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 31/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 31/10/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/10/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 31/10/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [20:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 126 t0: [20:00:00 31/10/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 31/10/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 31/10/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/10/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/10/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 31/10/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [20:00:00 31/10/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 31/10/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [20:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 31/10/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 31/10/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Approximated st: NotStopd t0: [20:00:00 31/10/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [20:00:00 31/10/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Reinforced st: NotStopd t0: [20:00:00 31/10/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.94048 u1: kg x m st: NotStopd t0: [20:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [20:00:00 31/10/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 31/10/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 31/10/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 31/10/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 74.256 u1: g * m st: NotStopd t0: [20:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: g*m/m2 st: NotStopd t0: [20:00:00 31/10/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [20:00:00 31/10/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 31/10/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 31/10/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 31/10/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 31/10/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 31/10/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 31/10/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [20:00:00 31/10/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 31/10/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1216 u1: kg * m st: NotStopd t0: [20:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.990654 u1: ... st: NotStopd t0: [20:00:00 31/10/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 31/10/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 31/10/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 31/10/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.52 u1: g * m st: NotStopd t0: [20:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.3832 u1: g*m/m2 st: NotStopd t0: [20:00:00 31/10/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 31/10/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [20:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1076.92 u1: ... st: NotStopd t0: [20:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2304.53 u1: ... st: NotStopd t0: [20:00:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 31/10/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 31/10/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65 u1: ml st: NotStopd t0: [20:00:00 31/10/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [20:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [20:00:00 31/10/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 31/10/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/10/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/10/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/10/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 31/10/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 31/10/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 31/10/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 31/10/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 31/10/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 31/10/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 8 u1: number st: NotStopd t0: [20:00:00 31/10/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [20:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [20:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [20:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [20:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [20:00:00 31/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [20:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [20:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [20:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [21:10:00 31/10/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd
t0: [21:10:00 31/10/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [21:10:00 31/10/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [21:10:00 31/10/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [21:10:00 31/10/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:10:00 31/10/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:10:00 31/10/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:10:00 31/10/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [21:10:00 31/10/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:10:00 31/10/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:10:00 31/10/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 36.8 u1: Deg. C st: NotStopd t0: [21:10:00 31/10/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [21:10:00 31/10/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [21:10:00 31/10/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [21:10:00 31/10/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [21:10:00 31/10/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:10:00 31/10/2010] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [21:10:00 31/10/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [21:10:00 31/10/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [21:10:00 31/10/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:10:00 31/10/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:10:00 31/10/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:10:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [21:10:00 31/10/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:10:00 31/10/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:10:00 31/10/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [21:10:00 31/10/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [21:10:00 31/10/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [21:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [21:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 124 t0: [21:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.84704 u1: kg x m st: NotStopd t0: [21:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.3848 u1: g * m st: NotStopd t0: [21:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [21:00:00 31/10/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 272.727 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 582.524 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [21:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.85504 u1: kg * m st: NotStopd t0: [21:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.869159 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.3448 u1: g * m st: NotStopd t0: [21:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.4206 u1: g*m/m2 st: NotStopd t0: [21:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1181.82 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2524.27 u1: ... st: NotStopd t0: [21:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.012 u1: ml st: NotStopd t0: [21:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [21:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [21:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [21:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [21:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 31/10/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 31/10/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 31/10/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 31/10/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 31/10/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 31/10/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 31/10/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 31/10/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [21:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml nb: 1 t0: [21:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [21:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [21:00:00 31/10/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 80 vu: ml t0: [21:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [21:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [23:00:00 31/10/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 2330 ap: none
t0: [22:09:00 31/10/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [22:09:00 31/10/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [22:09:00 31/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [22:09:00 31/10/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [22:09:00 31/10/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [22:09:00 31/10/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [22:00:00 31/10/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 34.6 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 34.6 rs: Final st: NotStopd
t0: [22:00:00 31/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.9 u1: % rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 79 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd
t0: [23:00:00 31/10/2010] id: D5W 250.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [22:00:00 31/10/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [22:00:00 31/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [21:30:00 31/10/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [22:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [22:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 123 t0: [22:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.7112 u1: kg x m st: NotStopd t0: [22:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.59813 u1: ... st: NotStopd t0: [22:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 95.9616 u1: g * m st: NotStopd t0: [22:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 44.8598 u1: g*m/m2 st: NotStopd t0: [22:00:00 31/10/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [22:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [22:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.7748 u1: kg * m st: NotStopd t0: [22:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.827103 u1: ... st: NotStopd t0: [22:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.0864 u1: g * m st: NotStopd t0: [22:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.3271 u1: g*m/m2 st: NotStopd t0: [22:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [22:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1973.33 u1: ... st: NotStopd t0: [22:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 4228.57 u1: ... st: NotStopd t0: [22:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.5556 u1: ml st: NotStopd t0: [22:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [22:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [22:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [22:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.5 u1: L/min st: NotStopd t0: [23:00:00 31/10/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 31/10/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 1.91589 u1: ... st: NotStopd t0: [23:00:00 31/10/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 31/10/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/10/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 31/10/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 31/10/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 31/10/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [23:00:00 31/10/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 122 t0: [23:00:00 31/10/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.23776 u1: kg x m st: NotStopd t0: [23:00:00 31/10/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.96262 u1: ... st: NotStopd t0: [23:00:00 31/10/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.7136 u1: g * m st: NotStopd t0: [23:00:00 31/10/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [23:00:00 31/10/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [23:00:00 31/10/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 31/10/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [23:00:00 31/10/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.6728 u1: kg * m st: NotStopd t0: [23:00:00 31/10/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.780374 u1: ... st: NotStopd t0: [23:00:00 31/10/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.808 u1: g * m st: NotStopd t0: [23:00:00 31/10/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.71963 u1: g*m/m2 st: NotStopd t0: [23:00:00 31/10/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 31/10/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [23:00:00 31/10/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1190.24 u1: ... st: NotStopd t0: [23:00:00 31/10/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2541.67 u1: ... st: NotStopd t0: [23:00:00 31/10/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 31/10/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.25 u1: ml st: NotStopd t0: [23:00:00 31/10/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [23:00:00 31/10/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 31/10/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [23:00:00 31/10/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [23:00:00 31/10/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 31/10/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [22:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [22:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [22:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [22:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml t0: [23:00:00 31/10/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [23:00:00 31/10/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [23:00:00 31/10/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [23:00:00 31/10/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [23:00:00 31/10/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [22:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/10/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/10/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/10/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 31/10/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/10/2010] tf: [08:00:00 10/11/2010] dt: 13500 id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 300 vu: ml t0: [00:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [00:00:00 01/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vu: ml nb: 1 t0: [00:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [00:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 01/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [00:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [00:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [23:00:00 01/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN pv: 650 cv: 1600 ap: none
t0: [20:00:00 31/10/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [00:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [00:00:00 01/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [00:00:00 01/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 01/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 01/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 01/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 01/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 01/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [00:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 125 t0: [00:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 01/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 01/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 01/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 01/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 01/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [00:00:00 01/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 01/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [00:00:00 01/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 01/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [00:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 01/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Approximated st: NotStopd t0: [00:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [00:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Reinforced st: NotStopd t0: [00:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.5892 u1: kg x m st: NotStopd t0: [00:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [00:00:00 01/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 01/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 01/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 82.076 u1: g * m st: NotStopd t0: [00:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 38.3178 u1: g*m/m2 st: NotStopd t0: [00:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [00:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [00:00:00 01/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 01/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.48064 u1: kg * m st: NotStopd t0: [00:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.15888 u1: ... st: NotStopd t0: [00:00:00 01/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 01/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 01/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.8992 u1: g * m st: NotStopd t0: [00:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.4393 u1: g*m/m2 st: NotStopd t0: [00:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: ... st: NotStopd t0: [00:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 940.351 u1: ... st: NotStopd t0: [00:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2015.04 u1: ... st: NotStopd t0: [00:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 01/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 71.25 u1: ml st: NotStopd t0: [00:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [00:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [00:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [00:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 01/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 01/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [00:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/10/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [00:00:00 01/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd
t0: [23:48:00 31/10/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: RN v1: 27 u1: % rs: Final st: NotStopd t0: [00:00:00 01/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd
t0: [01:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [01:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 112 t0: [01:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.72736 u1: kg x m st: NotStopd t0: [01:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [01:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.092 u1: g * m st: NotStopd t0: [01:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [01:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [01:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.73536 u1: kg * m st: NotStopd t0: [01:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.813084 u1: ... st: NotStopd t0: [01:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.692 u1: g * m st: NotStopd t0: [01:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.1402 u1: g*m/m2 st: NotStopd t0: [01:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [01:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1181.82 u1: ... st: NotStopd t0: [01:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2524.27 u1: ... st: NotStopd t0: [01:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55 u1: ml st: NotStopd t0: [01:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [01:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [01:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [01:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [01:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [01:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [01:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [01:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [01:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 01/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [01:00:00 01/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [01:00:00 01/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [01:00:00 01/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 01/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 01/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 01/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [01:00:00 01/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 01/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 01/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [01:00:00 01/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [01:00:00 01/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:00:00 01/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:00:00 01/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [01:00:00 01/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:00:00 01/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [01:00:00 01/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:00:00 01/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 01/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:00:00 01/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:00:00 01/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 01/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [01:00:00 01/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:00:00 01/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 01/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 01/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:58:00 01/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [01:58:00 01/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [22:00:00 31/10/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [02:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 119 t0: [02:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.09184 u1: kg x m st: NotStopd t0: [02:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [02:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.648 u1: g * m st: NotStopd t0: [02:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [02:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [02:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [02:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.89312 u1: kg * m st: NotStopd t0: [02:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.883178 u1: ... st: NotStopd t0: [02:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.664 u1: g * m st: NotStopd t0: [02:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.0748 u1: g*m/m2 st: NotStopd t0: [02:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [02:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [02:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [02:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60 u1: ml st: NotStopd t0: [02:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [02:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [02:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [02:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [02:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [02:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [02:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [02:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [02:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [02:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:30:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:30:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:30:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:30:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [02:30:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [02:30:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:30:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:30:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:30:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [02:30:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:30:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:30:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:45:00 01/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd
t0: [01:45:00 01/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [01:45:00 01/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.4 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [01:45:00 01/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.4 rs: Final st: NotStopd
t0: [03:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 124 t0: [03:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.32752 u1: kg x m st: NotStopd t0: [03:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.3456 u1: g * m st: NotStopd t0: [03:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [03:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [03:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.63744 u1: kg * m st: NotStopd t0: [03:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.766355 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.5632 u1: g * m st: NotStopd t0: [03:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.62617 u1: g*m/m2 st: NotStopd t0: [03:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1116.28 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2388.06 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.75 u1: ml st: NotStopd t0: [03:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [03:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [03:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [03:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [03:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [03:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [03:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [03:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [03:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.00781 vu: ml
t0: [03:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 01/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 223.256 u1: ... st: NotStopd t0: [03:00:00 01/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 477.612 u1: ... st: NotStopd
t0: [03:00:00 01/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [04:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [04:00:00 01/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Impaired st: NotStopd t0: [04:00:00 01/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 01/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 01/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 01/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 01/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 01/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 124 t0: [04:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 01/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 01/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 01/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 01/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 01/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [04:00:00 01/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 01/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [04:00:00 01/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 01/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [04:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [04:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.2084 u1: kg x m st: NotStopd t0: [04:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [04:00:00 01/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 01/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 77.8872 u1: g * m st: NotStopd t0: [04:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 36.4486 u1: g*m/m2 st: NotStopd t0: [04:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [04:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 01/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:00:00 01/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3936 u1: kg * m st: NotStopd t0: [04:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.11682 u1: ... st: NotStopd t0: [04:00:00 01/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 01/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.0288 u1: g * m st: NotStopd t0: [04:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.0187 u1: g*m/m2 st: NotStopd t0: [04:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [04:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 960 u1: ... st: NotStopd t0: [04:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2054.47 u1: ... st: NotStopd t0: [04:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 01/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.75 u1: ml st: NotStopd t0: [04:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [04:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [04:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [04:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [04:00:00 01/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [04:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [04:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [04:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [04:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml
t0: [04:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 01/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 01/11/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [04:00:00 01/11/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 2 Eye Lid Twitch st: NotStopd
t0: [03:30:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:30:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:30:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 1.86916 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:30:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:30:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.08 u1: kg x m st: NotStopd t0: [03:30:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.91589 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 49.98 u1: g * m st: NotStopd t0: [03:30:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: g*m/m2 st: NotStopd t0: [03:30:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:30:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:30:00 01/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [03:30:00 01/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 260 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 556.15 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [03:30:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:30:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:30:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [03:30:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.5776 u1: kg * m st: NotStopd t0: [03:30:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.738318 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.3256 u1: g * m st: NotStopd t0: [03:30:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.01869 u1: g*m/m2 st: NotStopd t0: [03:30:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.8972 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1220 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2609.63 u1: ... st: NotStopd t0: [03:30:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:30:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 49.3827 u1: ml st: NotStopd t0: [03:30:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4 u1: L/min st: NotStopd t0: [04:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd
t0: [03:30:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:30:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 01/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [05:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [05:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 109 t0: [05:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.06464 u1: kg x m st: NotStopd t0: [05:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [05:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.0496 u1: g * m st: NotStopd t0: [05:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [05:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [05:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.93256 u1: kg * m st: NotStopd t0: [05:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.901869 u1: ... st: NotStopd t0: [05:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.0584 u1: g * m st: NotStopd t0: [05:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.2617 u1: g*m/m2 st: NotStopd t0: [05:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [05:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1012.24 u1: ... st: NotStopd t0: [05:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2165.94 u1: ... st: NotStopd t0: [05:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.25 u1: ml st: NotStopd t0: [05:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [05:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [05:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [05:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [05:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [05:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [05:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [05:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [05:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [05:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [05:45:00 01/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [05:45:00 01/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:45:00 01/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [05:45:00 01/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [05:45:00 01/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:45:00 01/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:45:00 01/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:45:00 01/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [05:45:00 01/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:45:00 01/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:45:00 01/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:45:00 01/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [05:45:00 01/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [05:45:00 01/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [05:45:00 01/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [05:45:00 01/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:45:00 01/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [05:45:00 01/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [05:45:00 01/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:45:00 01/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:45:00 01/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:45:00 01/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:45:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:45:00 01/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 638 u1: ml/B st: NotStopd t0: [05:45:00 01/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:45:00 01/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [05:45:00 01/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [05:45:00 01/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 01/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [04:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [04:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Reinforced st: NotStopd t0: [04:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 01/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 01/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 01/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 01/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 01/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [06:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 01/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [06:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 121 t0: [06:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.44 u1: kg x m st: NotStopd t0: [06:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [06:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.456 u1: g * m st: NotStopd t0: [06:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [06:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [06:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [06:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.176 u1: kg * m st: NotStopd t0: [06:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.01869 u1: ... st: NotStopd t0: [06:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.9824 u1: g * m st: NotStopd t0: [06:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.6168 u1: g*m/m2 st: NotStopd t0: [06:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [06:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1008 u1: ... st: NotStopd t0: [06:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2153.85 u1: ... st: NotStopd t0: [06:00:00 01/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.7284 u1: ml st: NotStopd t0: [06:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [06:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [06:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [06:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 01/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [06:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [06:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [06:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 01/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [06:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [06:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [06:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [06:28:00 01/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [06:28:00 01/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [06:00:00 01/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd
t0: [06:15:00 01/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.8 u1: % rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd
t0: [08:00:00 01/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [08:00:00 01/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 01/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [08:00:00 01/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 01/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 01/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [08:00:00 01/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 01/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 01/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 01/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 01/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 01/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [08:00:00 01/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 01/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 01/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 01/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 01/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 624 u1: ml/B st: NotStopd t0: [08:00:00 01/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 01/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 01/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 01/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [08:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [08:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [08:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 128 t0: [08:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.44544 u1: kg x m st: NotStopd t0: [08:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [08:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.7376 u1: g * m st: NotStopd t0: [08:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [08:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [08:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1216 u1: kg * m st: NotStopd t0: [08:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.990654 u1: ... st: NotStopd t0: [08:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.664 u1: g * m st: NotStopd t0: [08:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.0748 u1: g*m/m2 st: NotStopd t0: [08:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [08:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 923.077 u1: ... st: NotStopd t0: [08:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1975.31 u1: ... st: NotStopd t0: [08:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.427 u1: ml st: NotStopd t0: [08:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [08:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [08:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [08:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
io: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ra: 10 ru: ml/hr
t0: [08:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
id: Carrier el: 2 cu: C-SICU cg: RN io: Carrier IV Infusions du: ml rt: Intravenous Push
t0: [06:15:00 01/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.3 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.3 rs: Final st: NotStopd
t0: [08:00:00 01/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 01/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [08:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd
t0: [08:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 400 vu: ml t0: [08:00:00 01/11/2010] tf: [12:00:00 03/11/2010] dt: 3120 id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 16 vu: ml t0: [08:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml t0: [08:00:00 01/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [08:00:00 01/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 0 vu: ml t0: [08:00:00 01/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [08:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 33.75 vu: ml t0: [08:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml
t0: [08:00:00 01/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [08:00:00 01/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 01/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 01/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 01/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 01/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 01/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 01/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 01/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 01/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 01/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 01/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [08:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 01/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 01/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 01/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 01/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 01/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 01/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [08:00:00 01/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 01/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 01/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [08:00:00 01/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 01/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [08:00:00 01/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [08:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 01/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 01/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 01/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 01/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 01/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 01/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 01/11/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: RN v1: 4 Eye Lid Twitch st: NotStopd
t0: [06:15:00 01/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [06:15:00 01/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [09:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [09:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.05472 u1: kg x m st: NotStopd t0: [09:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [09:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 75.3984 u1: g * m st: NotStopd t0: [09:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: g*m/m2 st: NotStopd t0: [09:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [09:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1624 u1: kg * m st: NotStopd t0: [09:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [09:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.928 u1: g * m st: NotStopd t0: [09:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.5701 u1: g*m/m2 st: NotStopd t0: [09:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [09:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1026.42 u1: ... st: NotStopd t0: [09:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2193.55 u1: ... st: NotStopd t0: [09:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.25 u1: ml st: NotStopd t0: [09:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [09:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [09:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [09:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [09:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [09:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [09:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [09:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [09:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [09:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 02/11/2010] pt: IV Piggyback rt: IV fr: TITRATE TO m1: Cisatracurium Besylate v1: 100 u1: mg m2: D5W v2: 250 u2: ml tf: [08:00:00 18/12/2010] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [10:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [10:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [10:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 126 t0: [10:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.28768 u1: kg x m st: NotStopd t0: [10:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [10:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.096 u1: g * m st: NotStopd t0: [10:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [10:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [10:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.9584 u1: kg * m st: NotStopd t0: [10:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.915888 u1: ... st: NotStopd t0: [10:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.48 u1: g * m st: NotStopd t0: [10:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [10:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [10:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1100 u1: ... st: NotStopd t0: [10:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2357.14 u1: ... st: NotStopd t0: [10:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60 u1: ml st: NotStopd t0: [10:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [10:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [10:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [10:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [10:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [10:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.9 vu: ml t0: [10:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [10:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
pt: TPN
t0: [08:00:00 01/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [11:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [11:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [11:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [11:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 126 t0: [11:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [11:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.7528 u1: kg x m st: NotStopd t0: [11:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [11:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 70.992 u1: g * m st: NotStopd t0: [11:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [11:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [11:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [11:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [11:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [11:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.9176 u1: kg * m st: NotStopd t0: [11:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.897196 u1: ... st: NotStopd t0: [11:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.664 u1: g * m st: NotStopd t0: [11:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.0748 u1: g*m/m2 st: NotStopd t0: [11:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [11:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1310.64 u1: ... st: NotStopd t0: [11:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2800 u1: ... st: NotStopd t0: [11:00:00 01/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.0247 u1: ml st: NotStopd t0: [11:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [11:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [11:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [11:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 01/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [11:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [11:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [11:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [11:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [11:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [11:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [10:00:00 01/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [12:00:00 01/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [12:00:00 01/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 01/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [12:00:00 01/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 01/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 01/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [12:00:00 01/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 01/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 01/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 01/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 01/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 01/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [12:00:00 01/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 01/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 01/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 01/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 01/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 632 u1: ml/B st: NotStopd t0: [12:00:00 01/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 01/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 01/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 01/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 01/11/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: RN v1: Right Facial st: NotStopd t0: [12:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Unarousable st: NotStopd t0: [12:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [12:00:00 01/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [12:00:00 01/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [12:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [12:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 01/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [13:00:00 01/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [13:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [13:00:00 01/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [13:00:00 01/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [13:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 01/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [13:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [13:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [13:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [13:00:00 01/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [13:00:00 01/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [13:00:00 01/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [13:00:00 01/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [13:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [13:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 01/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [13:00:00 01/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [13:00:00 01/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 01/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [13:00:00 01/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [13:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [13:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 01/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [13:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [13:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 01/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Diff to Palpate st: NotStopd t0: [13:00:00 01/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [13:00:00 01/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [13:00:00 01/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [13:00:00 01/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 01/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [13:00:00 01/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [13:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 01/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 01/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [13:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 01/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [12:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [12:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [12:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [12:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 5.0625 vu: ml t0: [13:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [13:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [13:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [13:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [12:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples st: NotStopd t0: [10:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [10:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [10:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [13:00:00 01/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 01/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [13:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [13:00:00 01/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 01/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 01/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 01/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [13:00:00 01/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [13:00:00 01/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [13:00:00 01/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [13:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 01/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 01/11/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [13:00:00 01/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples st: NotStopd t0: [13:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [13:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [13:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [13:00:00 01/11/2010] id: Nursing Consultation el: 0 cu: C-SICU cg: RN v1: Social Services st: NotStopd t0: [13:00:00 01/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 01/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [13:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [13:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 01/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd
t0: [13:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [13:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [13:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 138 t0: [13:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.6512 u1: kg x m st: NotStopd t0: [13:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [13:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.8816 u1: g * m st: NotStopd t0: [13:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [13:00:00 01/11/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [13:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.7748 u1: kg * m st: NotStopd t0: [13:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.827103 u1: ... st: NotStopd t0: [13:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.0864 u1: g * m st: NotStopd t0: [13:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.3271 u1: g*m/m2 st: NotStopd t0: [13:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [13:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1102.22 u1: ... st: NotStopd t0: [13:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2361.9 u1: ... st: NotStopd t0: [13:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.25 u1: ml st: NotStopd t0: [13:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [13:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [13:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [13:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [13:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 01/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd
t0: [14:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 1.7757 u1: ... st: NotStopd t0: [14:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 147 t0: [14:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 3.97936 u1: kg x m st: NotStopd t0: [14:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.86916 u1: ... st: NotStopd t0: [14:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 50.2656 u1: g * m st: NotStopd t0: [14:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: g*m/m2 st: NotStopd t0: [14:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [14:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [14:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.49872 u1: kg * m st: NotStopd t0: [14:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.700935 u1: ... st: NotStopd t0: [14:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.9312 u1: g * m st: NotStopd t0: [14:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.83178 u1: g*m/m2 st: NotStopd t0: [14:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: ... st: NotStopd t0: [14:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1326.32 u1: ... st: NotStopd t0: [14:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2831.46 u1: ... st: NotStopd t0: [14:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 47.5 u1: ml st: NotStopd t0: [14:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [14:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [14:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [14:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 3.8 u1: L/min st: NotStopd
t0: [14:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml st: Restart t0: [14:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [14:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [14:00:00 01/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [14:00:00 01/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 0 vu: ml t0: [14:00:00 01/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [14:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [14:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [14:00:00 01/11/2010] tf: [00:00:00 15/11/2010] dt: 19320 id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 160 vu: ml
t0: [14:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 01/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 64 rs: Manual st: NotStopd t0: [14:00:00 01/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: RN v1: 98 u1: % rs: Manual st: NotStopd t0: [14:00:00 01/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: RN v1: 5.87138 u1: L/min st: NotStopd
t0: [14:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:19:00 01/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [14:19:00 01/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 13.4358 u1: ml/dl st: NotStopd t0: [14:19:00 01/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 494 u1: ml/min st: NotStopd t0: [14:19:00 01/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 231.4 u1: ml/m/m st: NotStopd t0: [14:19:00 01/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 494 u1: ml/min st: NotStopd t0: [14:19:00 01/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 230.841 u1: ml/m/m st: NotStopd t0: [14:19:00 01/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 494 u1: ml/min st: NotStopd t0: [14:19:00 01/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 230.841 u1: ml/m/m st: NotStopd t0: [14:19:00 01/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.06 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [14:30:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:30:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:30:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [14:30:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:30:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:30:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:30:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:30:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 150 t0: [14:30:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.0936 u1: kg x m st: NotStopd t0: [14:30:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.91589 u1: ... st: NotStopd t0: [14:30:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 51.408 u1: g * m st: NotStopd t0: [14:30:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: g*m/m2 st: NotStopd t0: [14:30:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:30:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [14:30:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:30:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:30:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [14:30:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.63744 u1: kg * m st: NotStopd t0: [14:30:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.766355 u1: ... st: NotStopd t0: [14:30:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.5632 u1: g * m st: NotStopd t0: [14:30:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.62617 u1: g*m/m2 st: NotStopd t0: [14:30:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:30:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [14:30:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1041.86 u1: ... st: NotStopd t0: [14:30:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2228.86 u1: ... st: NotStopd t0: [14:30:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:30:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.75 u1: ml st: NotStopd t0: [14:30:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [14:30:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:30:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [14:30:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [14:30:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 01/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 64 rs: Manual st: NotStopd t0: [14:30:00 01/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: RN v1: 98 u1: % rs: Manual st: NotStopd t0: [14:30:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [14:30:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:19:00 01/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:19:00 01/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd
t0: [15:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [15:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [15:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 146 t0: [15:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.63488 u1: kg x m st: NotStopd t0: [15:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [15:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.936 u1: g * m st: NotStopd t0: [15:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [15:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [15:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [15:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [15:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.82784 u1: kg * m st: NotStopd t0: [15:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.85514 u1: ... st: NotStopd t0: [15:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [15:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [15:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [15:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60 u1: ml st: NotStopd t0: [15:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [15:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [15:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [15:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [15:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [15:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [15:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [15:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.95312 vu: ml
t0: [15:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:19:00 01/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: RN v1: 27 u1: % rs: Final st: NotStopd
t0: [16:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [16:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [16:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [16:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.95312 vu: ml
t0: [14:30:00 01/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: 3161 v1: 5.93069 u1: L/min st: NotStopd t0: [14:33:00 01/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.5 u1: % rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.4 u1: /mic l rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd
t0: [14:33:00 01/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.3 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.3 rs: Final st: NotStopd
t0: [14:00:00 01/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: RN v1: 30.5 u1: % rs: Manual st: NotStopd
t0: [14:33:00 01/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [14:33:00 01/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [16:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [16:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 01/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 01/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [16:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 130 t0: [16:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.8552 u1: kg x m st: NotStopd t0: [16:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 01/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.976 u1: g * m st: NotStopd t0: [16:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [16:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [16:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [16:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [16:00:00 01/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:00:00 01/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 172.549 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 369.748 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt v2: IV Push st: NotStopd t0: [16:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 01/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [16:00:00 01/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.01144 u1: kg * m st: NotStopd t0: [16:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.939252 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 01/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8472 u1: g * m st: NotStopd t0: [16:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [16:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 862.745 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1848.74 u1: ... st: NotStopd t0: [16:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.963 u1: ml st: NotStopd t0: [16:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [16:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [16:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [16:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [16:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml
t0: [16:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 01/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 01/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 01/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 01/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 01/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 01/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 01/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples st: NotStopd t0: [16:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 01/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 01/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 01/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anesthetized st: NotStopd t0: [16:00:00 01/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [17:00:00 01/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [17:00:00 01/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [17:00:00 01/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [17:00:00 01/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 01/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 01/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:00:00 01/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [17:00:00 01/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 01/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 01/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 01/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [17:00:00 01/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [17:00:00 01/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [17:00:00 01/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [17:00:00 01/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 01/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [17:00:00 01/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [17:00:00 01/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 01/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:00:00 01/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:00:00 01/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 01/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 624 u1: ml/B st: NotStopd t0: [17:00:00 01/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [17:00:00 01/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 01/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 01/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
io: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 41.7 ru: ml/hr
tf: [12:00:00 03/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
id: TPN el: 1 cu: C-SICU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:00:00 01/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 01/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 01/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 01/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 01/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 01/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 01/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 01/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 01/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [17:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [17:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 117 t0: [17:00:00 01/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 01/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 01/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [17:00:00 01/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 01/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 01/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 01/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 01/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [17:00:00 01/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 01/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [17:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [17:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.12896 u1: kg x m st: NotStopd t0: [17:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.91589 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 49.7352 u1: g * m st: NotStopd t0: [17:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: g*m/m2 st: NotStopd t0: [17:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [17:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [17:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 01/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [17:00:00 01/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 363.636 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 776.699 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [17:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.21408 u1: kg * m st: NotStopd t0: [17:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.03271 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.6696 u1: g * m st: NotStopd t0: [17:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.4766 u1: g*m/m2 st: NotStopd t0: [17:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1054.55 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2252.43 u1: ... st: NotStopd t0: [17:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.012 u1: ml st: NotStopd t0: [17:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [17:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [17:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [17:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 01/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [17:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [17:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [17:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [17:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [17:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [17:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [18:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [18:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 111 t0: [18:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.73688 u1: kg x m st: NotStopd t0: [18:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [18:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.4864 u1: g * m st: NotStopd t0: [18:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [18:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [18:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [18:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [18:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.69592 u1: kg * m st: NotStopd t0: [18:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.794393 u1: ... st: NotStopd t0: [18:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.2976 u1: g * m st: NotStopd t0: [18:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.95327 u1: g*m/m2 st: NotStopd t0: [18:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [18:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1283.72 u1: ... st: NotStopd t0: [18:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2746.27 u1: ... st: NotStopd t0: [18:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.75 u1: ml st: NotStopd t0: [18:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [18:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [18:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [18:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [18:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [18:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [18:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [18:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [18:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [18:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 01/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml nb: 1
tf: [17:00:00 02/11/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 18 dn: 1 m1: Hespan v1: 500 u1: ml m2: NS v2: 500 u2: ml
id: Hespan el: 2 cu: C-SICU cg: RN io: Hespan IV Infusions du: ml rt: Intravenous Push
t0: [19:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [19:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [19:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 115 t0: [19:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.26184 u1: kg x m st: NotStopd t0: [19:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [19:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.5752 u1: g * m st: NotStopd t0: [19:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [19:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [19:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [19:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [19:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1624 u1: kg * m st: NotStopd t0: [19:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [19:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.072 u1: g * m st: NotStopd t0: [19:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.2617 u1: g*m/m2 st: NotStopd t0: [19:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [19:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 905.66 u1: ... st: NotStopd t0: [19:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1935.48 u1: ... st: NotStopd t0: [19:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.8889 u1: ml st: NotStopd t0: [19:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [19:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [19:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [19:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [19:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [19:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [19:00:00 01/11/2010] tf: [21:17:00 07/12/2010] dt: 51977 id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [19:00:00 01/11/2010] tf: [14:00:00 04/11/2010] dt: 4020 id: Hespan IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 500 vu: ml t0: [19:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [19:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [19:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 4.21875 vu: ml
t0: [19:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
t0: [19:34:00 01/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [20:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [20:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 110 t0: [20:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.896 u1: kg x m st: NotStopd t0: [20:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.6896 u1: g * m st: NotStopd t0: [20:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: g*m/m2 st: NotStopd t0: [20:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 160 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 341.88 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [20:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.972 u1: kg * m st: NotStopd t0: [20:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.920561 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8472 u1: g * m st: NotStopd t0: [20:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [20:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 928 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1982.91 u1: ... st: NotStopd t0: [20:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [20:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [20:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [20:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [20:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [20:00:00 01/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [20:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [20:00:00 01/11/2010] tf: [06:00:00 05/11/2010] dt: 4920 id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [20:00:00 01/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 50 vu: ml t0: [20:00:00 01/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [20:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [20:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.95312 vu: ml t0: [20:00:00 01/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 1200 vu: ml
t0: [20:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 01/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 110 rs: Manual st: NotStopd t0: [16:00:00 01/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 110 rs: Manual st: NotStopd
t0: [20:45:00 01/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [20:45:00 01/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:45:00 01/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [20:45:00 01/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:45:00 01/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:45:00 01/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:45:00 01/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:45:00 01/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:45:00 01/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:45:00 01/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:45:00 01/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:45:00 01/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:45:00 01/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:45:00 01/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [20:45:00 01/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:45:00 01/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:45:00 01/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:45:00 01/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:45:00 01/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:45:00 01/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:45:00 01/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:45:00 01/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:45:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:45:00 01/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 697 u1: ml/B st: NotStopd t0: [20:45:00 01/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:45:00 01/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:45:00 01/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:45:00 01/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [19:34:00 01/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.07 rs: Final st: NotStopd t0: [19:34:00 01/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [21:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [21:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 01/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 01/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [21:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 125 t0: [21:00:00 01/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 01/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 01/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 01/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [21:00:00 01/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [21:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [21:00:00 01/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Changed st: NotStopd t0: [21:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 01/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.46448 u1: kg x m st: NotStopd t0: [21:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [21:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.912 u1: g * m st: NotStopd t0: [21:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [21:00:00 01/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [21:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [21:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 01/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 01/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [21:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.26576 u1: kg * m st: NotStopd t0: [21:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06075 u1: ... st: NotStopd t0: [21:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.744 u1: g * m st: NotStopd t0: [21:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.9439 u1: g*m/m2 st: NotStopd t0: [21:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [21:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1077.55 u1: ... st: NotStopd t0: [21:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2305.68 u1: ... st: NotStopd t0: [21:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.7561 u1: ml st: NotStopd t0: [21:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [21:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [21:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [21:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [21:00:00 01/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 01/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 01/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [21:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [21:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [21:00:00 01/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [21:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [21:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [21:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [20:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [22:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Impaired v2: Absent st: NotStopd t0: [22:00:00 01/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [22:00:00 01/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [22:00:00 01/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 01/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [22:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 01/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [22:00:00 01/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [22:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [22:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [22:00:00 01/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 127 t0: [22:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.3856 u1: kg x m st: NotStopd t0: [22:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [22:00:00 01/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 01/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [22:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.5648 u1: g * m st: NotStopd t0: [22:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [22:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [22:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 01/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [22:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [22:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [22:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [22:00:00 01/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 01/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1692 u1: kg * m st: NotStopd t0: [22:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.01402 u1: ... st: NotStopd t0: [22:00:00 01/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 01/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [22:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.2136 u1: g * m st: NotStopd t0: [22:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.7103 u1: g*m/m2 st: NotStopd t0: [22:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 01/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [22:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 843.636 u1: ... st: NotStopd t0: [22:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1805.45 u1: ... st: NotStopd t0: [22:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.75 u1: ml st: NotStopd t0: [22:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [22:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [22:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [22:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [22:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [22:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 01/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [22:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [22:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [22:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 01/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 143 rs: Manual st: NotStopd
t0: [23:00:00 01/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 01/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 01/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [23:00:00 01/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [23:00:00 01/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 01/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 01/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 01/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [23:00:00 01/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 01/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [23:00:00 01/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [23:00:00 01/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 01/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [23:00:00 01/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [23:00:00 01/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [23:00:00 01/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [23:00:00 01/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [23:00:00 01/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [23:00:00 01/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 01/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.3312 u1: kg x m st: NotStopd t0: [23:00:00 01/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [23:00:00 01/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.64 u1: g * m st: NotStopd t0: [23:00:00 01/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [23:00:00 01/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [23:00:00 01/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 01/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 01/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [23:00:00 01/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [23:00:00 01/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [23:00:00 01/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [23:00:00 01/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 01/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 01/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 01/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [23:00:00 01/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.20864 u1: kg * m st: NotStopd t0: [23:00:00 01/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.03271 u1: ... st: NotStopd t0: [23:00:00 01/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.608 u1: g * m st: NotStopd t0: [23:00:00 01/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8972 u1: g*m/m2 st: NotStopd t0: [23:00:00 01/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 01/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 01/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [23:00:00 01/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [23:00:00 01/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1709.92 u1: ... st: NotStopd t0: [23:00:00 01/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 01/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 01/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 70 u1: ml st: NotStopd t0: [23:00:00 01/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [23:00:00 01/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [23:00:00 01/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 01/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [23:00:00 01/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [23:00:00 01/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 01/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 01/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 01/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [23:00:00 01/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 01/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [23:00:00 01/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [23:00:00 01/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [23:00:00 01/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [23:00:00 01/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [23:00:00 01/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 01/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 01/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 01/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 141.406 cv: 6418.03 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 41.7 cv: 208.5 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 183.106 cv: 7126.53 ap: none
t0: [00:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [00:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Impaired st: NotStopd t0: [00:00:00 02/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 02/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 02/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 02/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [00:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [00:00:00 02/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 02/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 02/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [00:00:00 02/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 02/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [00:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [00:00:00 02/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.6848 u1: kg x m st: NotStopd t0: [00:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [00:00:00 02/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.3184 u1: g * m st: NotStopd t0: [00:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [00:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [00:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [00:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.4684 u1: kg * m st: NotStopd t0: [00:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.15421 u1: ... st: NotStopd t0: [00:00:00 02/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.9672 u1: g * m st: NotStopd t0: [00:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.486 u1: g*m/m2 st: NotStopd t0: [00:00:00 02/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [00:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 858.182 u1: ... st: NotStopd t0: [00:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1836.58 u1: ... st: NotStopd t0: [00:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.75 u1: ml st: NotStopd t0: [00:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [00:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [00:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [00:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 02/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 02/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 02/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 02/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 02/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [00:00:00 02/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [00:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [23:00:00 01/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [23:00:00 01/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 50 vu: ml t0: [23:00:00 01/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 650 vu: ml t0: [23:00:00 01/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 450 vu: ml t0: [00:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [00:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [00:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [00:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 1300 cv: 1300 ap: none t0: [23:00:00 01/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -1116.89 cv: -1116.89 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 150 cv: 400 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 1234 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -1116.89 cv: 2082.53 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 1300 cv: 5044 ap: none t0: [23:00:00 01/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 450 cv: 1810 ap: none t0: [23:00:00 01/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -1116.89 cv: 28561.3 ap: none
t0: [00:50:00 02/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [00:50:00 02/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:50:00 02/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [00:50:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:50:00 02/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:50:00 02/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:50:00 02/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [00:50:00 02/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:50:00 02/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:50:00 02/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:50:00 02/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:50:00 02/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [00:50:00 02/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:50:00 02/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [00:50:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:50:00 02/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:50:00 02/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:50:00 02/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:50:00 02/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [00:50:00 02/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [00:50:00 02/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:50:00 02/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:50:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:50:00 02/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 628 u1: ml/B st: NotStopd t0: [00:50:00 02/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:50:00 02/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:50:00 02/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:50:00 02/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [01:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [01:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [01:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [01:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [01:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.8348 u1: kg x m st: NotStopd t0: [01:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [01:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.1664 u1: g * m st: NotStopd t0: [01:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [01:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [01:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [01:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [01:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [01:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.0196 u1: kg * m st: NotStopd t0: [01:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.943925 u1: ... st: NotStopd t0: [01:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.1328 u1: g * m st: NotStopd t0: [01:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.729 u1: g*m/m2 st: NotStopd t0: [01:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [01:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1102.22 u1: ... st: NotStopd t0: [01:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2361.9 u1: ... st: NotStopd t0: [01:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.25 u1: ml st: NotStopd t0: [01:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [01:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [01:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [01:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [01:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [01:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [01:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 02/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd
t0: [01:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [01:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [02:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [02:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [02:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [02:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.848 u1: kg x m st: NotStopd t0: [02:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [02:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 73.6848 u1: g * m st: NotStopd t0: [02:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: g*m/m2 st: NotStopd t0: [02:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [02:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [02:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [02:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.244 u1: kg * m st: NotStopd t0: [02:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.04673 u1: ... st: NotStopd t0: [02:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.2744 u1: g * m st: NotStopd t0: [02:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.2243 u1: g*m/m2 st: NotStopd t0: [02:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [02:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1104 u1: ... st: NotStopd t0: [02:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2358.97 u1: ... st: NotStopd t0: [02:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [02:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [02:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [02:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [02:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [02:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [02:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [02:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [02:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [02:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [02:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 02/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 1117.07 cv: 1117.07 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 1125.38 cv: 6222.36 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 41.7 cv: 1000.8 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 1167.07 cv: 7223.16 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 1445 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 1117.07 cv: -746.841 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 50 cv: 7970 ap: none t0: [23:00:00 02/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 1117.07 cv: 27814.4 ap: none
t0: [03:55:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [03:55:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [03:55:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:55:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [03:55:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [03:55:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd
t0: [03:56:00 02/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd
t0: [03:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [03:00:00 02/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [03:00:00 02/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [03:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [03:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [03:00:00 02/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [03:00:00 02/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [03:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [03:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 02/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [03:00:00 02/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [03:00:00 02/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [03:00:00 02/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [03:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [03:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [03:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 02/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [03:00:00 02/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 02/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [03:00:00 02/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [03:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [03:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [03:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [03:00:00 02/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [03:00:00 02/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 02/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [03:00:00 02/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 02/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [03:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 02/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [03:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [03:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [03:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [03:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 02/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [03:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 02/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 02/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [03:00:00 02/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 02/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 02/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [03:00:00 02/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [03:00:00 02/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 02/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [03:00:00 02/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [04:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 02/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 02/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [04:00:00 02/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 02/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [04:00:00 02/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [03:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [03:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [03:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [03:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [04:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [04:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [04:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 02/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [04:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [04:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [04:00:00 02/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 800 vu: ml
t0: [03:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [03:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.644 u1: kg x m st: NotStopd t0: [03:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [03:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.9856 u1: g * m st: NotStopd t0: [03:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: g*m/m2 st: NotStopd t0: [03:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.108 u1: kg * m st: NotStopd t0: [03:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.985981 u1: ... st: NotStopd t0: [03:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.1392 u1: g * m st: NotStopd t0: [03:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [03:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [03:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1088 u1: ... st: NotStopd t0: [03:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2324.79 u1: ... st: NotStopd t0: [03:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.7284 u1: ml st: NotStopd t0: [03:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd t0: [04:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 128 t0: [04:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.72832 u1: kg x m st: NotStopd t0: [04:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.604 u1: g * m st: NotStopd t0: [04:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [04:00:00 02/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 169.231 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 362.14 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.33376 u1: kg * m st: NotStopd t0: [04:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08879 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.172 u1: g * m st: NotStopd t0: [04:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.6449 u1: g*m/m2 st: NotStopd t0: [04:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 984.615 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2107 u1: ... st: NotStopd t0: [04:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65 u1: ml st: NotStopd t0: [04:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [04:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [04:30:00 02/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [04:30:00 02/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:30:00 02/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:30:00 02/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [04:30:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 02/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 02/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:30:00 02/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [04:30:00 02/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 02/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 02/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:30:00 02/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:30:00 02/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [04:30:00 02/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:30:00 02/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [04:30:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:30:00 02/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 02/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [04:30:00 02/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:30:00 02/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 02/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:30:00 02/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:30:00 02/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [04:30:00 02/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 625 u1: ml/B st: NotStopd t0: [04:30:00 02/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:30:00 02/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 02/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:30:00 02/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [04:13:00 02/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.09 u1: /mic l rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd
t0: [04:13:00 02/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.6 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.6 rs: Final st: NotStopd
t0: [03:00:00 02/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 02/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [04:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [05:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [05:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd
t0: [05:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 0 vu: ml t0: [05:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [05:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [05:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [05:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 16.875 vu: ml t0: [05:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [05:00:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd
t0: [03:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [05:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [05:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 124 t0: [05:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [05:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.21424 u1: kg x m st: NotStopd t0: [05:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [05:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 64.6952 u1: g * m st: NotStopd t0: [05:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [05:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [05:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.35008 u1: kg * m st: NotStopd t0: [05:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.09813 u1: ... st: NotStopd t0: [05:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.1584 u1: g * m st: NotStopd t0: [05:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.6449 u1: g*m/m2 st: NotStopd t0: [05:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [05:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 814.815 u1: ... st: NotStopd t0: [05:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1746.03 u1: ... st: NotStopd t0: [05:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.6667 u1: ml st: NotStopd t0: [05:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [05:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [05:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [05:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [05:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [05:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:13:00 02/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [04:13:00 02/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [04:15:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:15:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:15:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:15:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:15:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [04:15:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [04:15:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:15:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:15:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:15:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:15:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:15:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:30:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:30:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:30:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:30:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [04:30:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [04:30:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:30:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:30:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:30:00 02/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:30:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:30:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:45:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:45:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [04:45:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:45:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:45:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:45:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [04:45:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [04:45:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:45:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [04:45:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:45:00 02/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:45:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:45:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [04:45:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:15:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:15:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:15:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:15:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:15:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [05:15:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [05:15:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:15:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:15:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:15:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [05:15:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:15:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:15:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:15:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:30:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:30:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:45:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:45:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:45:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:45:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [05:15:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:15:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:15:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [05:11:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 12.7571 u1: ml/dl st: NotStopd t0: [05:11:00 02/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 702 u1: ml/min st: NotStopd t0: [05:11:00 02/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 327.6 u1: ml/m/m st: NotStopd t0: [05:11:00 02/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 702 u1: ml/min st: NotStopd t0: [05:11:00 02/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 328.037 u1: ml/m/m st: NotStopd t0: [05:11:00 02/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 702 u1: ml/min st: NotStopd t0: [05:11:00 02/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 328.037 u1: ml/m/m st: NotStopd t0: [05:11:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [05:11:00 02/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [05:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:15:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [06:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [06:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [06:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 122 t0: [06:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.37472 u1: kg x m st: NotStopd t0: [06:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [06:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.184 u1: g * m st: NotStopd t0: [06:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [06:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [06:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [06:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.19232 u1: kg * m st: NotStopd t0: [06:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.02336 u1: ... st: NotStopd t0: [06:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.404 u1: g * m st: NotStopd t0: [06:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8037 u1: g*m/m2 st: NotStopd t0: [06:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [06:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 938.462 u1: ... st: NotStopd t0: [06:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2008.23 u1: ... st: NotStopd t0: [06:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65 u1: ml st: NotStopd t0: [06:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [06:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [06:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [06:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [06:00:00 02/11/2010] tf: [11:00:00 10/11/2010] dt: 11820 id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [06:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [06:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 02/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 125 vu: ml t0: [06:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 22.5 vu: ml t0: [06:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml t0: [06:00:00 02/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 350 vu: ml
t0: [06:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [06:26:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 12.9353 u1: ml/dl st: NotStopd t0: [06:26:00 02/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 676 u1: ml/min st: NotStopd t0: [06:26:00 02/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 315.9 u1: ml/m/m st: NotStopd t0: [06:26:00 02/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 676 u1: ml/min st: NotStopd t0: [06:26:00 02/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 315.888 u1: ml/m/m st: NotStopd t0: [06:26:00 02/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 676 u1: ml/min st: NotStopd t0: [06:26:00 02/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 315.888 u1: ml/m/m st: NotStopd t0: [06:26:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [06:26:00 02/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:00:00 02/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 125 rs: Manual st: NotStopd t0: [06:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [06:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [06:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [06:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 02/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [06:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [06:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [07:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [07:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [07:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [07:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [07:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [07:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [07:00:00 02/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [07:00:00 02/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [07:00:00 02/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [07:00:00 02/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [07:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [07:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [07:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [07:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [07:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.44 u1: kg x m st: NotStopd t0: [07:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [07:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.544 u1: g * m st: NotStopd t0: [07:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [07:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [07:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [07:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [07:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.312 u1: kg * m st: NotStopd t0: [07:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07944 u1: ... st: NotStopd t0: [07:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.1312 u1: g * m st: NotStopd t0: [07:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.5981 u1: g*m/m2 st: NotStopd t0: [07:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [07:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 976 u1: ... st: NotStopd t0: [07:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2085.47 u1: ... st: NotStopd t0: [07:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [07:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [07:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [07:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [07:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [07:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [07:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [07:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [07:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [07:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [07:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [07:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 22.5 vu: ml t0: [07:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml
t0: [07:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [08:00:00 02/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 02/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [08:00:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 02/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [08:00:00 02/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 02/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 02/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 02/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 02/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 02/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [08:00:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 02/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 02/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 618 u1: ml/B st: NotStopd t0: [08:00:00 02/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 02/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 02/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 02/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:11:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [08:11:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [08:11:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [08:11:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [08:11:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [08:11:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd
t0: [08:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [08:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 02/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Absent st: NotStopd t0: [08:00:00 02/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 02/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Diff to Palpate st: NotStopd t0: [08:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [08:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [08:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 137 t0: [08:00:00 02/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 02/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 02/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 02/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Paralytic Med st: NotStopd t0: [08:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 02/11/2010] id: NMB Medication el: 0 cu: C-SICU cg: RN v1: Cisatracurium st: NotStopd t0: [08:00:00 02/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 02/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [08:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.108 u1: kg * m st: NotStopd t0: [08:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.985981 u1: ... st: NotStopd t0: [08:00:00 02/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 02/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 02/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.5608 u1: g * m st: NotStopd t0: [08:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.4299 u1: g*m/m2 st: NotStopd t0: [08:00:00 02/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [08:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [08:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [08:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [08:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [08:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [08:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [08:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [08:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [08:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [08:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 22.5 vu: ml t0: [08:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml
t0: [08:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 02/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 02/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [08:00:00 02/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 02/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [08:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 02/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [08:00:00 02/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [09:00:00 02/11/2010] id: NMB Medication el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [08:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 02/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 02/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 02/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 02/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 02/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 02/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 02/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 02/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [09:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [09:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [09:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 129 t0: [09:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v2: Changed st: NotStopd t0: [09:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.25408 u1: kg x m st: NotStopd t0: [09:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.6384 u1: g * m st: NotStopd t0: [09:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [09:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [09:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [09:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [09:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.8768 u1: kg * m st: NotStopd t0: [09:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.878505 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.664 u1: g * m st: NotStopd t0: [09:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.0748 u1: g*m/m2 st: NotStopd t0: [09:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 904.348 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1934.88 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.5 u1: ml st: NotStopd t0: [09:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [09:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [09:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [09:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [09:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [09:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [09:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [09:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [09:00:00 02/11/2010] id: D5W 250.0ml + 200mcgkgmin Cisatracurium + 200mgkghr Cisatracurium IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 22.5 vu: ml t0: [09:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml
t0: [09:00:00 02/11/2010] id: Cisatracurium el: 1 cu: C-SICU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [09:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 53 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [10:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 02/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 02/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.032 u1: kg x m st: NotStopd t0: [08:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [08:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.4032 u1: g * m st: NotStopd t0: [08:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [08:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 928 u1: ... st: NotStopd t0: [08:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1982.91 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [10:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [10:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 137 t0: [10:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [10:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.0928 u1: kg x m st: NotStopd t0: [10:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 73.984 u1: g * m st: NotStopd t0: [10:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: g*m/m2 st: NotStopd t0: [10:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.12256 u1: kg * m st: NotStopd t0: [10:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.45794 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 37.9168 u1: g * m st: NotStopd t0: [10:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 17.7103 u1: g*m/m2 st: NotStopd t0: [10:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 785.714 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1679.39 u1: ... st: NotStopd t0: [10:00:00 02/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.2927 u1: ml st: NotStopd t0: [10:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [10:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [10:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [10:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 02/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [10:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [10:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [10:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml
t0: [10:24:00 02/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd
t0: [11:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [11:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [11:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [11:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 120 t0: [11:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.692 u1: kg x m st: NotStopd t0: [11:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [11:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.1192 u1: g * m st: NotStopd t0: [11:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [11:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [11:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [11:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.972 u1: kg * m st: NotStopd t0: [11:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.920561 u1: ... st: NotStopd t0: [11:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8472 u1: g * m st: NotStopd t0: [11:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [11:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [11:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 896 u1: ... st: NotStopd t0: [11:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1914.53 u1: ... st: NotStopd t0: [11:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [11:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [11:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [11:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [11:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [11:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [11:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [11:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [11:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml
t0: [11:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 02/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd
t0: [11:30:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml nb: 1
t0: [11:57:00 02/11/2010] id: BSA el: 1033 cu: C-SICU cg: -1 v1: 2.14119 u1: m2 t0: [11:57:00 02/11/2010] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 90 u1: kg t0: [11:57:00 02/11/2010] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [11:57:00 02/11/2010] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: RUPTURED AAA t0: [11:57:00 02/11/2010] id: Service el: 1026 cu: C-SICU cg: -1 v1: VSU t0: [11:57:00 02/11/2010] id: Admit Ht el: 1034 cu: C-SICU cg: -1 v1: 71 u1: inches t0: [11:57:00 02/11/2010] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [11:57:00 02/11/2010] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [11:57:00 02/11/2010] id: Religion el: 1000 cu: C-SICU cg: -1 v1: NSP t0: [11:57:00 02/11/2010] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [11:57:00 02/11/2010] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [11:57:00 02/11/2010] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [11:57:00 02/11/2010] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
t0: [12:00:00 02/11/2010] id: IV #3 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 02/11/2010] id: IV #3 Insert Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 02/11/2010] id: IV #3 Site/Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 02/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 02/11/2010] id: IV Site Appear #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 02/11/2010] id: IV Site Appear #3 el: 0 cu: C-SICU cg: -1 st: D/C'd
pt: TPN tf: [11:00:00 02/11/2010] pt: TPN
t0: [08:00:00 02/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [11:00:00 02/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [11:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [12:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [12:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [12:00:00 02/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 02/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 02/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [12:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 02/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 02/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 109 t0: [12:00:00 02/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 02/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [12:00:00 02/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 02/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 14 gauge st: NotStopd t0: [12:00:00 02/11/2010] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 02/11/2010] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Right Wrist v2: 16 gauge st: NotStopd t0: [12:00:00 02/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 02/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 02/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [12:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.47088 u1: kg x m st: NotStopd t0: [12:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [12:00:00 02/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 02/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 02/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 80.6208 u1: g * m st: NotStopd t0: [12:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 37.8505 u1: g*m/m2 st: NotStopd t0: [12:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40584 u1: kg * m st: NotStopd t0: [12:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.12617 u1: ... st: NotStopd t0: [12:00:00 02/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 02/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 02/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.9744 u1: g * m st: NotStopd t0: [12:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.0187 u1: g*m/m2 st: NotStopd t0: [12:00:00 02/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 02/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: ... st: NotStopd t0: [12:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 852.459 u1: ... st: NotStopd t0: [12:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1824.56 u1: ... st: NotStopd t0: [12:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 02/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 76.25 u1: ml st: NotStopd t0: [12:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [12:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [12:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [12:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 02/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [12:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [12:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [12:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [12:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [12:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.79688 vu: ml t0: [12:00:00 02/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 1100 vu: ml
t0: [12:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 02/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 02/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 02/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [12:00:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 02/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [12:00:00 02/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 02/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 02/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 02/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 02/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 02/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [12:00:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 02/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 02/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 955 u1: ml/B st: NotStopd t0: [12:00:00 02/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 02/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 02/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 02/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [12:29:00 02/11/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [10:30:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:30:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:30:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [10:30:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [10:30:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [10:30:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [10:30:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:30:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/11/2010] id: IV #1 Reason DC'D el: 0 cu: C-SICU cg: RN v1: Routine Change st: NotStopd t0: [12:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2010] id: IV #1 D/C Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 23 st: NotStopd t0: [12:00:00 02/11/2010] id: IV #2 D/C Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 23 st: NotStopd t0: [12:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 02/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 02/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [10:30:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:30:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [13:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [13:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [14:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [14:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 133 t0: [14:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.75688 u1: kg x m st: NotStopd t0: [14:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [14:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.2432 u1: g * m st: NotStopd t0: [14:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [14:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.01144 u1: kg * m st: NotStopd t0: [14:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.939252 u1: ... st: NotStopd t0: [14:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.2416 u1: g * m st: NotStopd t0: [14:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.7757 u1: g*m/m2 st: NotStopd t0: [14:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [14:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1113.73 u1: ... st: NotStopd t0: [14:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2386.55 u1: ... st: NotStopd t0: [14:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.75 u1: ml st: NotStopd t0: [14:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [14:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [14:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [14:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [14:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [14:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml t0: [14:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 83.4 vu: ml t0: [14:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml t0: [14:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml
t0: [13:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 02/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 120 rs: Manual st: NotStopd t0: [12:00:00 02/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 120 rs: Manual st: NotStopd
t0: [14:26:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd
t0: [14:26:00 02/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.05 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [14:26:00 02/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [12:00:00 02/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [15:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [15:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [15:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [15:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 122 t0: [15:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.41008 u1: kg x m st: NotStopd t0: [15:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [15:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.8912 u1: g * m st: NotStopd t0: [15:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [15:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [15:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.87272 u1: kg * m st: NotStopd t0: [15:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.873832 u1: ... st: NotStopd t0: [15:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.5008 u1: g * m st: NotStopd t0: [15:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.9813 u1: g*m/m2 st: NotStopd t0: [15:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [15:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [15:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [15:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.75 u1: ml st: NotStopd t0: [15:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [15:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [15:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [15:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [15:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [15:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [15:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [15:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [15:00:00 02/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [15:00:00 02/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 50 vu: ml t0: [15:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [15:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [15:45:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:45:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:45:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 1.86916 u1: ... st: NotStopd t0: [15:45:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:45:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:45:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:45:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 149 t0: [15:45:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:45:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [15:45:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 3.1008 u1: kg x m st: NotStopd t0: [15:45:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.4486 u1: ... st: NotStopd t0: [15:45:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 38.76 u1: g * m st: NotStopd t0: [15:45:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 18.2243 u1: g*m/m2 st: NotStopd t0: [15:45:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [15:45:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:45:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:45:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:45:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [15:45:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:45:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [15:45:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:45:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.3056 u1: kg * m st: NotStopd t0: [15:45:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.61215 u1: ... st: NotStopd t0: [15:45:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 16.32 u1: g * m st: NotStopd t0: [15:45:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.61682 u1: g*m/m2 st: NotStopd t0: [15:45:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:45:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: ... st: NotStopd t0: [15:45:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 980 u1: ... st: NotStopd t0: [15:45:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2096.26 u1: ... st: NotStopd t0: [15:45:00 02/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [15:45:00 02/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:45:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:45:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50 u1: ml st: NotStopd t0: [15:45:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [15:45:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:45:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:45:00 02/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:45:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [15:45:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:45:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [16:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [16:00:00 02/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 02/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 02/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [16:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 02/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 02/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [16:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [16:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 149 t0: [16:00:00 02/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 02/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 02/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 02/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 02/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Copious st: NotStopd t0: [16:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.31584 u1: kg x m st: NotStopd t0: [16:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [16:00:00 02/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 02/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 02/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 02/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 74.8544 u1: g * m st: NotStopd t0: [16:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: g*m/m2 st: NotStopd t0: [16:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 02/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [16:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [16:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [16:00:00 02/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [16:00:00 02/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.27664 u1: kg * m st: NotStopd t0: [16:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06542 u1: ... st: NotStopd t0: [16:00:00 02/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 02/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 02/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 02/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.9824 u1: g * m st: NotStopd t0: [16:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.6168 u1: g*m/m2 st: NotStopd t0: [16:00:00 02/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 02/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [16:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.2857 u1: ml st: NotStopd t0: [16:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [16:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [16:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [16:00:00 02/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [16:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [16:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [16:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [16:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [16:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [16:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 02/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [16:33:00 02/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [16:33:00 02/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:33:00 02/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [16:33:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:33:00 02/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:33:00 02/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:33:00 02/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [16:33:00 02/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:33:00 02/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:33:00 02/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:33:00 02/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:33:00 02/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:33:00 02/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:33:00 02/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [16:33:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:33:00 02/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:33:00 02/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:33:00 02/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:33:00 02/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [16:33:00 02/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:33:00 02/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:33:00 02/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:33:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:33:00 02/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:33:00 02/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:33:00 02/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:33:00 02/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:33:00 02/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 02/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 02/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 191.304 u1: ... st: NotStopd t0: [09:00:00 02/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 409.302 u1: ... st: NotStopd t0: [17:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [17:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [17:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [17:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 133 t0: [17:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.462 u1: kg * m st: NotStopd t0: [17:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.682243 u1: ... st: NotStopd t0: [17:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.36 u1: g * m st: NotStopd t0: [17:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.59813 u1: g*m/m2 st: NotStopd t0: [17:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [17:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.75 u1: ml st: NotStopd t0: [17:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [17:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [17:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [17:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [18:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [18:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [18:00:00 02/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [18:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 127 t0: [18:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.53832 u1: kg x m st: NotStopd t0: [18:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [18:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.0048 u1: g * m st: NotStopd t0: [18:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [18:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.66192 u1: kg * m st: NotStopd t0: [18:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.775701 u1: ... st: NotStopd t0: [18:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.5088 u1: g * m st: NotStopd t0: [18:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.57944 u1: g*m/m2 st: NotStopd t0: [18:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [18:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1021.28 u1: ... st: NotStopd t0: [18:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2181.82 u1: ... st: NotStopd t0: [18:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.0247 u1: ml st: NotStopd t0: [18:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [18:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [18:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [18:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [17:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [17:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [17:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [17:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [17:00:00 02/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [17:00:00 02/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 50 vu: ml t0: [17:00:00 02/11/2010] tf: [18:00:00 04/11/2010] dt: 2940 id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml t0: [17:00:00 02/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [17:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [17:00:00 02/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 1000 vu: ml t0: [18:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [18:00:00 02/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vu: ml nb: 1 t0: [18:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [18:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml nb: 1 t0: [18:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [18:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [17:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 250 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 775 ap: none
t0: [17:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.85384 u1: kg x m st: NotStopd t0: [17:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [17:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.9552 u1: g * m st: NotStopd t0: [17:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [17:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1376.74 u1: ... st: NotStopd t0: [17:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2945.27 u1: ... st: NotStopd
t0: [18:14:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd
t0: [18:14:00 02/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [18:14:00 02/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd
t0: [19:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [19:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [19:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 136 t0: [19:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.1 u1: kg x m st: NotStopd t0: [19:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [19:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.24 u1: g * m st: NotStopd t0: [19:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [19:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [19:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.904 u1: kg * m st: NotStopd t0: [19:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.88785 u1: ... st: NotStopd t0: [19:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.6096 u1: g * m st: NotStopd t0: [19:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.028 u1: g*m/m2 st: NotStopd t0: [19:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [19:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1024 u1: ... st: NotStopd t0: [19:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2188.03 u1: ... st: NotStopd t0: [19:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.7284 u1: ml st: NotStopd t0: [19:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [19:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [19:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [19:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [19:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [19:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [19:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [19:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [19:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [20:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [20:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [20:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [20:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [20:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [20:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [20:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [20:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 129 t0: [20:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.43456 u1: kg x m st: NotStopd t0: [20:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [20:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.4352 u1: g * m st: NotStopd t0: [20:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [20:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.98288 u1: kg * m st: NotStopd t0: [20:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.925234 u1: ... st: NotStopd t0: [20:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.9696 u1: g * m st: NotStopd t0: [20:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.6822 u1: g*m/m2 st: NotStopd t0: [20:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: ... st: NotStopd t0: [20:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 962.963 u1: ... st: NotStopd t0: [20:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2063.49 u1: ... st: NotStopd t0: [20:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67.5 u1: ml st: NotStopd t0: [20:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [20:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [20:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:05:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:05:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:05:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:05:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:05:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:05:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.0368 u1: g * m st: NotStopd t0: [20:05:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [20:05:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [20:05:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [20:05:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:05:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:05:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:05:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 844.444 u1: ... st: NotStopd t0: [20:05:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:05:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:10:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:10:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:10:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:10:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:10:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:10:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.0368 u1: g * m st: NotStopd t0: [20:10:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [20:10:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [20:10:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:10:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:10:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:10:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:10:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 814.815 u1: ... st: NotStopd t0: [20:10:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:10:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:15:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:15:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:15:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:15:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:15:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [20:15:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:15:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:15:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:15:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:15:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:15:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:05:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:05:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [20:10:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:10:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [20:15:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:15:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 02/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 02/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 02/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 02/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 5 u1: points st: NotStopd t0: [20:00:00 02/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 02/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 02/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 02/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:00:00 02/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 02/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 02/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 02/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 02/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 02/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 02/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 02/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 02/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 02/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 02/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 02/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 02/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 02/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 02/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 02/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 02/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 02/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 02/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [20:00:00 02/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 02/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 02/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 02/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 02/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v2: Clean and Dry st: NotStopd t0: [20:00:00 02/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 02/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [20:00:00 02/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [20:00:00 02/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 02/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [20:33:00 02/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [20:33:00 02/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:33:00 02/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [20:33:00 02/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:33:00 02/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:33:00 02/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:33:00 02/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:33:00 02/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:33:00 02/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:33:00 02/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:33:00 02/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:33:00 02/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:33:00 02/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:33:00 02/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [20:33:00 02/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:33:00 02/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:33:00 02/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:33:00 02/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:33:00 02/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:33:00 02/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:33:00 02/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:33:00 02/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:33:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:33:00 02/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:33:00 02/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:33:00 02/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:33:00 02/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:33:00 02/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 02/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 1200 vu: ml t0: [20:00:00 02/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 550 vu: ml
t0: [23:00:00 02/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 3800 ap: none t0: [23:00:00 02/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN cv: 1700 ap: none
t0: [21:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [21:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [21:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 132 t0: [21:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.25408 u1: kg x m st: NotStopd t0: [21:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [21:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.6384 u1: g * m st: NotStopd t0: [21:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [21:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.68912 u1: kg * m st: NotStopd t0: [21:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.78972 u1: ... st: NotStopd t0: [21:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.2976 u1: g * m st: NotStopd t0: [21:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.95327 u1: g*m/m2 st: NotStopd t0: [21:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [21:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 991.304 u1: ... st: NotStopd t0: [21:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2120.93 u1: ... st: NotStopd t0: [21:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.5 u1: ml st: NotStopd t0: [21:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [21:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [21:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [21:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [21:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [21:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml nb: 1 t0: [21:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [21:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [21:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [21:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [21:35:00 02/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [21:35:00 02/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd
t0: [21:36:00 02/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.6 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.6 rs: Final st: NotStopd
t0: [21:36:00 02/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.2 u1: % rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.8 rs: Final st: NotStopd
t0: [21:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [22:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [22:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 135 t0: [22:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.21056 u1: kg x m st: NotStopd t0: [22:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.96262 u1: ... st: NotStopd t0: [22:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 51.8976 u1: g * m st: NotStopd t0: [22:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: g*m/m2 st: NotStopd t0: [22:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.63744 u1: kg * m st: NotStopd t0: [22:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.766355 u1: ... st: NotStopd t0: [22:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.1824 u1: g * m st: NotStopd t0: [22:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.43925 u1: g*m/m2 st: NotStopd t0: [22:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [22:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1134.88 u1: ... st: NotStopd t0: [22:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2427.86 u1: ... st: NotStopd t0: [22:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.0864 u1: ml st: NotStopd t0: [22:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [22:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [22:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [22:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [22:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [22:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [22:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [21:36:00 02/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [21:36:00 02/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd
id: Lactated Ringers el: 2 cu: C-SICU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [23:00:00 02/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 02/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [23:00:00 02/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 02/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 151 t0: [23:00:00 02/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.73688 u1: kg x m st: NotStopd t0: [23:00:00 02/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [23:00:00 02/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.4864 u1: g * m st: NotStopd t0: [23:00:00 02/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [23:00:00 02/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.81288 u1: kg * m st: NotStopd t0: [23:00:00 02/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.845794 u1: ... st: NotStopd t0: [23:00:00 02/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.7664 u1: g * m st: NotStopd t0: [23:00:00 02/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [23:00:00 02/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [23:00:00 02/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1265.12 u1: ... st: NotStopd t0: [23:00:00 02/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2706.47 u1: ... st: NotStopd t0: [23:00:00 02/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 02/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.75 u1: ml st: NotStopd t0: [23:00:00 02/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 02/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [23:00:00 02/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [23:00:00 02/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 02/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [23:00:00 02/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 02/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 02/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 02/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [23:00:00 02/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [23:00:00 02/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [23:00:00 02/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml
t0: [21:35:00 02/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.06 rs: Final st: NotStopd
t0: [20:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 02/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd
t0: [23:00:00 02/11/2010] tf: [18:00:00 03/11/2010] dt: 1140 id: Lactated Ringers IV Infusions el: 2 cu: C-SICU cg: RN ai: 155 vo: 1000 vu: ml
t0: [23:00:00 02/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/11/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [00:15:00 03/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [00:15:00 03/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:15:00 03/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [00:15:00 03/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:15:00 03/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:15:00 03/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:15:00 03/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [00:15:00 03/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:15:00 03/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:15:00 03/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:15:00 03/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:15:00 03/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [00:15:00 03/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:15:00 03/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:15:00 03/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:15:00 03/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 03/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:15:00 03/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:15:00 03/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:15:00 03/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:15:00 03/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:15:00 03/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:15:00 03/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [00:15:00 03/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:15:00 03/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:15:00 03/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:15:00 03/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 02/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [23:00:00 02/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 02/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [00:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [00:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [00:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 131 t0: [00:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.168 u1: kg x m st: NotStopd t0: [00:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [00:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.1168 u1: g * m st: NotStopd t0: [00:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [00:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.972 u1: kg * m st: NotStopd t0: [00:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.920561 u1: ... st: NotStopd t0: [00:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8472 u1: g * m st: NotStopd t0: [00:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [00:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [00:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 992 u1: ... st: NotStopd t0: [00:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2119.66 u1: ... st: NotStopd t0: [00:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [00:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [00:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [00:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [00:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [00:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [00:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.95312 vu: ml
t0: [00:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [20:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 02/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 02/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 02/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 02/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 02/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 02/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 02/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 02/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 02/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 02/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 02/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 02/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 03/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 03/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 03/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 03/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 03/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 03/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 03/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 03/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 03/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 03/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 03/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 03/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 03/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 03/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [00:00:00 03/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [00:00:00 03/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [00:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 03/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 03/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 03/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 03/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 03/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 03/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 03/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 03/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 03/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 03/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 03/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 03/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 03/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 03/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 03/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 03/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 03/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 03/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 03/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 03/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 03/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 03/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 03/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 03/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 03/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 03/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 03/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 03/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 03/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd
t0: [01:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [01:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 145 t0: [01:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.3176 u1: kg x m st: NotStopd t0: [01:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [01:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.048 u1: g * m st: NotStopd t0: [01:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [01:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.00192 u1: kg * m st: NotStopd t0: [01:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.934579 u1: ... st: NotStopd t0: [01:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.2416 u1: g * m st: NotStopd t0: [01:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.7757 u1: g*m/m2 st: NotStopd t0: [01:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [01:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1217.39 u1: ... st: NotStopd t0: [01:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2604.65 u1: ... st: NotStopd t0: [01:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.5 u1: ml st: NotStopd t0: [01:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [01:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [01:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [01:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [01:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [01:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [01:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.95312 vu: ml
t0: [01:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [02:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 137 t0: [02:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.43904 u1: kg x m st: NotStopd t0: [02:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [02:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 55.488 u1: g * m st: NotStopd t0: [02:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: g*m/m2 st: NotStopd t0: [02:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.82784 u1: kg * m st: NotStopd t0: [02:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.85514 u1: ... st: NotStopd t0: [02:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [02:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [02:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [02:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 933.333 u1: ... st: NotStopd t0: [02:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2000 u1: ... st: NotStopd t0: [02:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60 u1: ml st: NotStopd t0: [02:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [02:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [02:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [02:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [02:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [02:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [02:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [03:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 135 t0: [03:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.98576 u1: kg x m st: NotStopd t0: [03:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [03:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.4656 u1: g * m st: NotStopd t0: [03:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [03:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.9176 u1: kg * m st: NotStopd t0: [03:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.897196 u1: ... st: NotStopd t0: [03:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.256 u1: g * m st: NotStopd t0: [03:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [03:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [03:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1106.38 u1: ... st: NotStopd t0: [03:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2363.64 u1: ... st: NotStopd t0: [03:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.3171 u1: ml st: NotStopd t0: [03:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [03:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [03:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [03:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [03:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [03:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [03:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [03:00:00 03/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [03:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml t0: [03:00:00 03/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [03:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 03/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 369 cv: 369 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 409 cv: 5092.16 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 40 cv: 1449.9 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 449 cv: 6542.06 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 80 cv: 1499 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 369 cv: -2231.94 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 80 cv: 8774 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 2900 ap: none t0: [23:00:00 03/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN cv: 2900 ap: none t0: [23:00:00 03/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 369 cv: 25582.5 ap: none
t0: [00:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 03/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 03/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [03:33:00 03/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [04:00:00 03/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [04:00:00 03/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 03/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 03/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [04:00:00 03/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 03/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [04:00:00 03/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 03/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 03/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [04:00:00 03/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 03/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [04:00:00 03/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [04:00:00 03/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 03/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 03/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 03/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 03/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 03/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 03/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 03/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.3 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.3 rs: Final st: NotStopd
t0: [04:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [04:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 126 t0: [04:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.30848 u1: kg x m st: NotStopd t0: [04:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.00935 u1: ... st: NotStopd t0: [04:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.8768 u1: g * m st: NotStopd t0: [04:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [04:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.73536 u1: kg * m st: NotStopd t0: [04:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.813084 u1: ... st: NotStopd t0: [04:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.2976 u1: g * m st: NotStopd t0: [04:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.95327 u1: g*m/m2 st: NotStopd t0: [04:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [04:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1072.73 u1: ... st: NotStopd t0: [04:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2291.26 u1: ... st: NotStopd t0: [04:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.6585 u1: ml st: NotStopd t0: [04:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [04:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [04:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [04:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [04:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 03/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.8 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.8 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.6 u1: % rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.8 rs: Final st: NotStopd
t0: [03:00:00 03/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 45 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 49 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 277 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 45 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.4 rs: Final st: NotStopd
t0: [03:00:00 03/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 92 rs: Final st: NotStopd
t0: [05:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [05:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 131 t0: [05:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.44272 u1: kg x m st: NotStopd t0: [05:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [05:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.4424 u1: g * m st: NotStopd t0: [05:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [05:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [05:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 123 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.12704 u1: kg * m st: NotStopd t0: [05:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.995327 u1: ... st: NotStopd t0: [05:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.3568 u1: g * m st: NotStopd t0: [05:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.3364 u1: g*m/m2 st: NotStopd t0: [05:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [05:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1234.78 u1: ... st: NotStopd t0: [05:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2641.86 u1: ... st: NotStopd t0: [05:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.7901 u1: ml st: NotStopd t0: [05:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [05:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [05:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [05:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [04:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [04:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [04:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml t0: [05:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [05:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [05:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [05:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [05:00:00 03/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 50 vu: ml t0: [05:00:00 03/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 475 vu: ml t0: [05:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [05:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 03/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 03/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 03/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 03/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 03/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 03/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 03/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 03/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 03/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 03/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 03/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [04:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 03/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serosanguinous st: NotStopd t0: [04:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [04:00:00 03/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [04:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 03/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 03/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 03/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 03/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 03/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 03/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 03/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 03/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 03/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 03/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 03/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 03/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 03/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 03/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 03/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 03/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [04:00:00 03/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 03/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 03/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 03/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 03/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 03/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 03/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 03/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 03/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 03/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 03/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 03/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 03/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 03/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [06:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [06:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 115 t0: [06:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.79808 u1: kg x m st: NotStopd t0: [06:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.7312 u1: g * m st: NotStopd t0: [06:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [06:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.06584 u1: kg * m st: NotStopd t0: [06:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.96729 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.7176 u1: g * m st: NotStopd t0: [06:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.0093 u1: g*m/m2 st: NotStopd t0: [06:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 930.612 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1991.27 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.25 u1: ml st: NotStopd t0: [06:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [06:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [06:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [06:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [06:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [06:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 03/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.7 rs: Final st: NotStopd t0: [03:00:00 03/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: RN v1: 1.7 rs: Final st: NotStopd t0: [03:33:00 03/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.02 rs: Final st: NotStopd
t0: [05:00:00 03/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd
t0: [06:00:00 03/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [05:00:00 03/11/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vu: ml
t0: [05:00:00 03/11/2010] tf: [16:00:00 03/11/2010] dt: 660 id: duodenal el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [00:00:00 03/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [04:00:00 03/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 163.265 u1: ... st: NotStopd t0: [06:00:00 03/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 349.345 u1: ... st: NotStopd
t0: [07:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [07:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [07:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 116 t0: [07:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.4676 u1: kg x m st: NotStopd t0: [07:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [07:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 55.5968 u1: g * m st: NotStopd t0: [07:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [07:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.836 u1: kg * m st: NotStopd t0: [07:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.859813 u1: ... st: NotStopd t0: [07:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [07:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [07:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [07:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1031.11 u1: ... st: NotStopd t0: [07:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2209.52 u1: ... st: NotStopd t0: [07:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.25 u1: ml st: NotStopd t0: [07:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [07:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [07:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [07:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [07:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [07:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [07:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 41.7 vu: ml t0: [07:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [07:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [08:05:00 03/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [08:05:00 03/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:05:00 03/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 15 t0: [08:05:00 03/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:05:00 03/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:05:00 03/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:05:00 03/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [08:05:00 03/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:05:00 03/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:05:00 03/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:05:00 03/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:05:00 03/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:05:00 03/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:05:00 03/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [08:05:00 03/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:05:00 03/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:05:00 03/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [08:05:00 03/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:05:00 03/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:05:00 03/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:05:00 03/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:05:00 03/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:05:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:05:00 03/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 578 u1: ml/B st: NotStopd t0: [08:05:00 03/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:05:00 03/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:05:00 03/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:05:00 03/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [08:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 03/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 03/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 03/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 03/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 03/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 03/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 03/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 03/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 03/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 03/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [08:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 123 t0: [08:00:00 03/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 03/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 03/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 03/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 03/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 03/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [08:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 03/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.7184 u1: kg x m st: NotStopd t0: [08:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [08:00:00 03/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 03/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 03/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 83.98 u1: g * m st: NotStopd t0: [08:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 39.2523 u1: g*m/m2 st: NotStopd t0: [08:00:00 03/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 03/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 03/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 03/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 136 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.19232 u1: kg * m st: NotStopd t0: [08:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.02336 u1: ... st: NotStopd t0: [08:00:00 03/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 03/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 03/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.404 u1: g * m st: NotStopd t0: [08:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8037 u1: g*m/m2 st: NotStopd t0: [08:00:00 03/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 03/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 03/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [08:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1230.77 u1: ... st: NotStopd t0: [08:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2633.74 u1: ... st: NotStopd t0: [08:00:00 03/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 03/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 03/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 03/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65 u1: ml st: NotStopd t0: [08:00:00 03/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [08:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [08:00:00 03/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 03/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [08:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [08:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [08:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 83.3 vu: ml t0: [08:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [08:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 2.53125 vu: ml
t0: [08:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [08:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [09:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 121 t0: [09:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.83848 u1: kg x m st: NotStopd t0: [09:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [09:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.604 u1: g * m st: NotStopd t0: [09:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [09:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [09:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.30656 u1: kg * m st: NotStopd t0: [09:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07944 u1: ... st: NotStopd t0: [09:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.288 u1: g * m st: NotStopd t0: [09:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.2243 u1: g*m/m2 st: NotStopd t0: [09:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [09:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 996.226 u1: ... st: NotStopd t0: [09:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2129.03 u1: ... st: NotStopd t0: [09:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.4321 u1: ml st: NotStopd t0: [09:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [09:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [09:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [09:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [09:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 83.3 vu: ml t0: [09:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [09:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 1.26562 vu: ml
t0: [09:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 03/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: 3161 v1: 9.7 rs: Final st: NotStopd
t0: [10:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [10:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [10:00:00 03/11/2010] id: EDVI el: 0 cu: C-SICU cg: RN v1: 132 t0: [10:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.10272 u1: kg x m st: NotStopd t0: [10:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [10:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 62.8728 u1: g * m st: NotStopd t0: [10:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [10:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.904 u1: kg * m st: NotStopd t0: [10:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.88785 u1: ... st: NotStopd t0: [10:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.46 u1: g * m st: NotStopd t0: [10:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.9813 u1: g*m/m2 st: NotStopd t0: [10:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [10:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 828.571 u1: ... st: NotStopd t0: [10:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1770.99 u1: ... st: NotStopd t0: [10:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 69.1358 u1: ml st: NotStopd t0: [10:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [10:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [10:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [10:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 03/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [10:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [10:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 83.3 vu: ml t0: [10:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [10:00:00 03/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 700 vu: ml t0: [10:00:00 03/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 300 vu: ml t0: [10:00:00 03/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 1.26562 vu: ml t0: [10:00:00 03/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 600 vu: ml
t0: [10:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:41:00 03/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [11:00:00 03/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 03/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [11:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [11:00:00 03/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.36968 u1: kg x m st: NotStopd t0: [11:00:00 03/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.8352 u1: g * m st: NotStopd t0: [11:00:00 03/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: g*m/m2 st: NotStopd t0: [11:00:00 03/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 172.549 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 369.748 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.87272 u1: kg * m st: NotStopd t0: [11:00:00 03/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.873832 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.5008 u1: g * m st: NotStopd t0: [11:00:00 03/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.9813 u1: g*m/m2 st: NotStopd t0: [11:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 03/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 784.314 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1680.67 u1: ... st: NotStopd t0: [11:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 03/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.75 u1: ml st: NotStopd t0: [11:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 03/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [11:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 03/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [10:00:00 03/11/2010] tf: [21:17:00 07/12/2010] dt: 49637 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/11/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:45:00 03/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.85 rs: Final st: NotStopd t0: [11:45:00 03/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 rs: Final st: NotStopd
t0: [12:00:00 03/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 03/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 03/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 03/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 03/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [12:00:00 03/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 03/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 03/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 03/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 03/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 03/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 03/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 03/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 03/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 03/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 03/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 03/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 03/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#2 D/C Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 24 st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 03/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [12:00:00 03/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 03/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Large st: NotStopd t0: [12:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 03/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [12:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 03/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 03/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 03/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 03/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 03/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 03/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 03/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 03/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 03/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 03/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 03/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 03/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 03/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 03/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 03/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 03/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 03/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 03/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 03/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [12:00:00 03/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml st: Stopped t0: [12:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [12:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 166.6 vu: ml t0: [12:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [10:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [13:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 03/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 03/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [14:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 03/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 03/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [14:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [14:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 166.6 vu: ml t0: [14:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [14:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [01:00:00 04/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm
t0: [15:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [15:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:19:00 03/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.23 rs: Final st: NotStopd t0: [16:19:00 03/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [16:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [16:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [16:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [16:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 8 vu: ml t0: [16:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 166.6 vu: ml t0: [16:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [16:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 03/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 1000 vu: ml t0: [16:00:00 03/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [16:00:00 03/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 900 vu: ml
t0: [23:00:00 03/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 1175 ap: none
t0: [16:45:00 03/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [16:45:00 03/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:45:00 03/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [16:45:00 03/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:45:00 03/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:45:00 03/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:45:00 03/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [16:45:00 03/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:45:00 03/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:45:00 03/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:45:00 03/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:45:00 03/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [16:45:00 03/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:45:00 03/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [16:45:00 03/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:45:00 03/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:45:00 03/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [16:45:00 03/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [16:45:00 03/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:45:00 03/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:45:00 03/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:45:00 03/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:45:00 03/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:45:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:45:00 03/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 597 u1: ml/B st: NotStopd t0: [16:45:00 03/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:45:00 03/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 791 u1: ml/B st: NotStopd t0: [16:45:00 03/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:45:00 03/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:45:00 03/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
tf: [16:00:00 04/11/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 17 dn: 1 m1: Multivitamin 12 v1: 10 u1: ml m2: Travasol 4.25% W/ Dextrose 5% v2: 1000 u2: ml
t0: [12:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 03/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 03/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 03/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 03/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 03/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 03/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 03/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 03/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 03/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 03/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 03/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 03/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 03/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 03/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 03/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 03/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 03/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 03/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 03/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 03/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 03/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 03/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 03/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 03/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 03/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 03/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 03/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 03/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 03/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 03/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 03/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 03/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 03/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 03/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 03/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 03/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 03/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [16:00:00 03/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 03/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 03/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 03/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 03/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 03/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 03/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 03/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 03/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 03/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [17:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [17:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 03/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 2 cu: C-SICU cg: -1 ai: 155 vo: 0 st: D/C'd
t0: [16:00:00 03/11/2010] id: duodenal el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [16:00:00 03/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 150 vu: ml t0: [18:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [18:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 7 vu: ml t0: [18:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 166.6 vu: ml nb: 1 t0: [18:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [23:00:00 03/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 200 ap: none
t0: [20:00:00 03/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [20:00:00 03/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 03/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [20:00:00 03/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 03/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:00:00 03/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 03/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 03/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [20:00:00 03/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:00:00 03/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 03/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.09 u1: L/min st: NotStopd t0: [20:00:00 03/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 03/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 03/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [20:00:00 03/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 03/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [20:00:00 03/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 03/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 03/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [19:30:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:30:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [19:30:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 03/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:30:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [19:30:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:30:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [19:30:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [19:30:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [19:30:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:30:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:30:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:30:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [20:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 03/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/11/2010] id: Temperature C el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 03/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 03/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 03/11/2010] id: Temperature F (calc) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [20:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [20:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [20:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [19:30:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:30:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [18:00:00 07/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Vancomycin HCl v1: 1250 u1: mg m2: D5W v2: 250 u2: ml
t0: [20:00:00 03/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 03/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 03/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 03/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 03/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 03/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 03/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 03/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 03/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [20:00:00 03/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 03/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 03/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 03/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 03/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 03/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [20:00:00 03/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 03/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 03/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 03/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 03/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 03/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 03/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 03/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 03/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 03/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 03/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 03/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 03/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 03/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 03/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 03/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 03/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 03/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 03/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 03/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 03/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 03/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 03/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 03/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 600 vu: ml t0: [20:00:00 03/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 400 vu: ml
t0: [21:00:00 03/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [20:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 03/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 03/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 03/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [21:00:00 03/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [21:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [21:00:00 03/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 03/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [21:00:00 03/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [21:00:00 03/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [21:00:00 03/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 03/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 03/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [21:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 03/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 03/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [21:00:00 03/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [21:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [21:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [21:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [21:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [21:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 03/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [22:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [22:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [22:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [22:00:00 03/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [22:00:00 03/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [22:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:26:00 03/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [22:26:00 03/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [22:00:00 03/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis st: NotStopd t0: [22:00:00 03/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [22:00:00 03/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [22:00:00 03/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [22:00:00 03/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 03/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 03/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [22:00:00 03/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [22:00:00 03/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [22:00:00 03/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [22:00:00 03/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [22:00:00 03/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 03/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd
t0: [23:00:00 03/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 03/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 03/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 03/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 03/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 03/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [23:00:00 03/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [23:00:00 03/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 03/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 03/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 03/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 03/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 03/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 03/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 03/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 03/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 03/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 03/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 03/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 03/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [23:00:00 03/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [23:00:00 03/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [23:00:00 03/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 03/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 04/11/2010] id: Nerve Stimulated el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [00:00:00 04/11/2010] id: TOF Response/Twitch el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [00:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [00:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [00:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 04/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [00:00:00 04/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [00:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml nb: 1 t0: [00:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [00:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [00:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [00:00:00 04/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml t0: [00:00:00 04/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [00:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 300 vu: ml t0: [00:00:00 04/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vu: ml nb: 1
t0: [00:30:00 04/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 54.5455 u1: ml/cmH st: NotStopd t0: [00:30:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:30:00 04/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [00:30:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:30:00 04/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 04/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:30:00 04/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [00:30:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 04/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [00:30:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:30:00 04/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:30:00 04/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:30:00 04/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [00:30:00 04/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:30:00 04/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 04/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:30:00 04/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:30:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:30:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:30:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:30:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:30:00 04/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:30:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:30:00 04/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [00:30:00 04/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:30:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [00:30:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:30:00 04/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 04/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 04/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 04/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 04/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 04/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 04/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 04/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [00:00:00 04/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 04/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 04/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [00:00:00 04/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 04/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 04/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 04/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 04/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 04/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 04/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 04/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 04/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 04/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 04/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 04/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 04/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 04/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 04/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 04/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 04/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [01:00:00 04/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 04/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 04/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 04/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [01:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [01:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [01:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [01:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [08:00:00 04/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Morphine Sulfate v1: 100 u1: mg m2: D5W v2: 100 u2: ml
t0: [02:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [02:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [02:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [02:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 106 cv: 3738 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 91.7 cv: 1218.5 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 207.7 cv: 5506.5 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 1570 ap: none
t0: [20:00:00 03/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 03/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 03/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 04/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 04/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 04/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 04/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 04/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 04/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 04/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 04/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 04/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 04/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 04/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 04/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 04/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 04/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 04/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 04/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 04/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 04/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 04/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 04/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 04/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 04/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 04/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 04/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 04/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 04/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 04/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 04/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 04/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 04/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 04/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 04/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 04/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 04/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [02:00:00 04/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 900 vu: ml t0: [02:00:00 04/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [23:00:00 04/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 04/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 157.7 cv: 157.7 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 157.7 cv: -1993.5 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 50 cv: 7500 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 2200 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN cv: 1800 ap: none t0: [23:00:00 04/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 157.7 cv: 23589 ap: none
t0: [03:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [03:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 04/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [04:00:00 04/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [04:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [04:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [04:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [03:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:15:00 04/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [04:15:00 04/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd
t0: [04:15:00 04/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [04:15:00 04/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd
t0: [04:17:00 04/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.2 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.2 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.7 u1: % rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.2 rs: Final st: NotStopd
t0: [04:17:00 04/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 216 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 170 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.3 rs: Final st: NotStopd
t0: [04:17:00 04/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.2 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [04:17:00 04/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.2 rs: Final st: NotStopd
t0: [05:00:00 04/11/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 04/11/2010] id: Popliteal Pulse R/L el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 04/11/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 04/11/2010] id: Radial Pulse R/L el: 0 cu: C-SICU cg: -1 st: D/C'd
id: Albumin 5% el: 1 cu: C-SICU cg: RN io: Albumin 5% IV Infusions du: ml rt: Intravenous Push
t0: [04:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 04/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 04/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 04/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 04/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 04/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 04/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 04/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 04/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 04/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 04/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 04/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 04/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 04/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 04/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 04/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 04/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 04/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 04/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 04/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 04/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 04/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 04/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 04/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 04/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 04/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 04/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 04/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 04/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [04:00:00 04/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 04/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 04/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 04/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 04/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 04/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 04/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 04/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 04/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 04/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 04/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 04/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 04/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 04/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 04/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 04/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 04/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 04/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 04/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 04/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 04/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 04/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 04/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [05:00:00 04/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 04/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [05:00:00 04/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [05:00:00 04/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 04/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 04/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [05:00:00 04/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 04/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 04/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 04/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 04/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 04/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 04/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vu: ml t0: [05:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [05:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml t0: [05:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [05:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [05:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 04/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [05:00:00 04/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [05:00:00 04/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [05:00:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 04/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 04/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [05:00:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 04/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [05:00:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [05:00:00 04/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 04/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [05:00:00 04/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 04/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:00:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:00:00 04/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 04/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 04/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [05:30:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:30:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:30:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:30:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:30:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:30:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:30:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:30:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [05:30:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:30:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:30:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:30:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 04/11/2010] tf: [00:00:00 10/11/2010] dt: 8310 id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 250 vu: ml
t0: [05:30:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:30:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [06:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [06:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [06:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 2 vu: ml t0: [06:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 40 vu: ml t0: [06:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [06:00:00 04/11/2010] tf: [18:00:00 04/11/2010] dt: 720 id: duodenal el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [06:00:00 04/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 300 vu: ml t0: [06:00:00 04/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 350 vu: ml t0: [06:00:00 04/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 380 vu: ml t0: [06:00:00 04/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [06:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd
t0: [06:30:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:30:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:30:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:30:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:30:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [06:30:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:30:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:30:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:30:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:30:00 04/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [06:30:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:30:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
tf: [06:00:00 05/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm
t0: [08:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 04/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 04/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 04/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 04/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 04/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 04/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 04/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 04/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 04/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 04/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 04/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 04/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 04/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 04/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 04/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 04/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 04/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [08:00:00 04/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 04/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 04/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 04/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 04/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 04/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 04/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 04/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 04/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 04/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 04/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 04/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 04/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 04/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 04/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 04/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [08:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 04/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [08:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [08:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 4 vu: ml t0: [08:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [08:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [08:00:00 04/11/2010] id: Morphine Sulfate el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip st: Stopped t0: [08:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 04/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [08:00:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 04/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [08:00:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 04/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 04/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 04/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [08:00:00 04/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 04/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 04/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 04/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
tf: [12:00:00 05/11/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 1-2 u1: mg
t0: [09:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [09:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [09:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Fluoroscopy st: NotStopd
t0: [10:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [10:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [10:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
pt: TPN
tf: [11:00:00 05/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 12 dn: 1 m1: Fluconazole v1: 400 u1: mg m2: NS v2: 200 u2: ml
t0: [11:00:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT u1: torr st: NotStopd
t0: [10:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 04/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 04/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 04/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 04/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 04/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 04/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 04/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 04/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 04/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 04/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 04/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 04/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 04/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 04/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [12:00:00 04/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 04/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 04/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 04/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 04/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 04/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 04/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 04/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 04/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 04/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 04/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 04/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 04/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 04/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 04/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 04/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 04/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 04/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 04/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 04/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 04/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 04/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 04/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 04/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 04/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 04/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [12:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [12:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [12:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 04/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 04/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 04/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [12:00:00 04/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 60 u1: ml/cmH st: NotStopd t0: [12:00:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 04/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [12:00:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 04/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 04/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 04/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [12:00:00 04/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [12:00:00 04/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 04/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 04/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 880 u1: ml/B st: NotStopd t0: [12:00:00 04/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 04/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 04/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 890 u1: ml/B st: NotStopd
t0: [12:40:00 04/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 163 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [12:40:00 04/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [13:00:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [13:00:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [13:00:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd
t0: [13:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: -1 ai: 304 vo: 0 st: D/C'd t0: [13:00:00 04/11/2010] id: D5W 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [10:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [13:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml t0: [12:00:00 04/11/2010] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vu: ml t0: [14:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [14:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [14:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [13:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 04/11/2010] id: Bladder Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [14:00:00 04/11/2010] id: Fresh Frozen Plasma IV Infusions el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [14:00:00 04/11/2010] id: Platelets IV Infusions el: 1 cu: C-SICU cg: -1 ai: 109 vo: 0 st: D/C'd t0: [14:00:00 04/11/2010] id: Hespan IV Infusions el: 2 cu: C-SICU cg: -1 ai: 115 vo: 0 st: D/C'd t0: [14:00:00 04/11/2010] id: Cryoprecipitate IV Drips el: 1 cu: C-SICU cg: -1 ai: 116 vo: 0 st: D/C'd
t0: [14:05:00 04/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [14:05:00 04/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [14:05:00 04/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [14:05:00 04/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 04/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 04/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [14:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 04/11/2010] id: duodenal el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [14:00:00 04/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 250 vu: ml t0: [14:00:00 04/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [14:00:00 04/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [14:00:00 04/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 1200 vu: ml
t0: [14:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [15:00:00 04/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 04/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [15:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 04/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 54.5455 u1: ml/cmH st: NotStopd t0: [16:00:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 04/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [16:00:00 04/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 04/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 04/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 04/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 04/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 04/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [16:00:00 04/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 04/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 04/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:00:00 04/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 04/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [16:00:00 04/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [16:00:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 04/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 04/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [16:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 04/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 04/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 04/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 04/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 04/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 04/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 04/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 04/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 04/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [16:00:00 04/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 04/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 04/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 04/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 04/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 04/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 04/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 04/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 04/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 04/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 04/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 04/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 04/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 04/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 04/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 04/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 04/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 04/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [16:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml t0: [16:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [16:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 04/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 04/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 04/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 04/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 04/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 04/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd
t0: [16:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [17:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [17:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 04/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 04/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 04/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [17:30:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:30:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:30:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:30:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:30:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [17:30:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:30:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:30:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:30:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:30:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 250 vu: ml
t0: [17:30:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
t0: [18:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [18:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 80 vu: ml nb: 1 t0: [18:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [18:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [18:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/11/2010] id: duodenal el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [18:00:00 04/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 200 vu: ml t0: [18:00:00 04/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [18:00:00 04/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [18:00:00 04/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 350 vu: ml
t0: [18:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 750 ap: none t0: [23:00:00 04/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 880 ap: none
io: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ra: 10 ru: ml/hr
id: Impact w/fiber el: 1 cu: C-SICU cg: RN io: Impact w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: C-SICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [18:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [18:00:00 04/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 0 vu: ml nb: 1
t0: [19:00:00 04/11/2010] id: Cartridge/Bag Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/11/2010] id: Initials (2 RNs) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/11/2010] id: Med Wasted/Amt el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/11/2010] id: Readmit <48 hrs el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/11/2010] id: NBP el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/11/2010] id: NBP Mean el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [19:00:00 04/11/2010] id: Carrier IV Infusions el: 2 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [19:00:00 04/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [19:00:00 04/11/2010] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 04/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 04/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 04/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 04/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 04/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 04/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 04/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 04/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 04/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 04/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 04/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [20:00:00 04/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 04/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 04/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 04/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 04/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 04/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 04/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 04/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 04/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 04/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 04/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 04/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 04/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 04/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 04/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 04/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 04/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 04/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 04/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 04/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 04/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 04/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 04/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 04/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 04/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 04/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 04/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 04/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 04/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:00:00 04/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 04/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 04/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 04/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 04/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 04/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 04/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 04/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 04/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 04/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 04/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 04/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 04/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [20:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 183.4 vu: ml t0: [20:00:00 04/11/2010] tf: [05:30:00 05/11/2010] dt: 570 id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [20:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 12 vu: ml
t0: [20:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [20:01:00 04/11/2010] id: Corneal Reflex R/L el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:10:00 04/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 54.5455 u1: ml/cmH st: NotStopd t0: [20:10:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:10:00 04/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [20:10:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:10:00 04/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:10:00 04/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:10:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:10:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:10:00 04/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:10:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:10:00 04/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:10:00 04/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:10:00 04/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [20:10:00 04/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:10:00 04/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:10:00 04/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:10:00 04/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:10:00 04/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:10:00 04/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:10:00 04/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:10:00 04/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:10:00 04/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:10:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:10:00 04/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [20:10:00 04/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 641 u1: ml/B st: NotStopd t0: [20:10:00 04/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:10:00 04/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 947 u1: ml/B st: NotStopd t0: [20:10:00 04/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:10:00 04/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:10:00 04/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 04/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [19:00:00 04/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [21:00:00 04/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:00:00 04/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [21:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [21:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [21:00:00 04/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [21:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [21:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 04/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [22:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 04/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [22:00:00 04/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 04/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 04/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 04/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 04/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 04/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [22:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 04/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 04/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 04/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 04/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 04/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 04/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 04/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [22:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 04/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [22:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [22:00:00 04/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [22:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [22:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [22:30:00 04/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [22:30:00 04/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:30:00 04/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:30:00 04/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [22:30:00 04/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [22:30:00 04/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [22:30:00 04/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [19:00:00 04/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: 3161 v1: 12.8 rs: Final st: NotStopd
t0: [23:00:00 04/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 04/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 04/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 04/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 04/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 04/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [23:00:00 04/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 04/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 04/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 04/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [23:00:00 04/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [23:00:00 04/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [23:00:00 04/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 10 cv: 50 ap: none
t0: [00:00:00 05/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 05/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 05/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 05/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 05/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 05/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 05/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 05/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 05/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 05/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 05/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 05/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [00:00:00 05/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 05/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 05/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 05/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 05/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 05/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 05/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 05/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 05/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 05/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 05/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 05/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 05/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 05/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 05/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [00:00:00 05/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 05/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 05/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 05/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 05/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 05/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 05/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 05/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 05/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 05/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 05/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 05/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 05/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 05/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 05/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 05/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [00:00:00 05/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [00:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 05/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 05/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 185 rs: Manual st: NotStopd t0: [00:00:00 05/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 05/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 05/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 05/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 05/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 05/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 05/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 05/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [00:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [00:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [00:00:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [00:15:00 05/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 54.5455 u1: ml/cmH st: NotStopd t0: [00:15:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:15:00 05/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [00:15:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:15:00 05/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:15:00 05/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:15:00 05/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:6.5 st: NotStopd t0: [00:15:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:15:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:15:00 05/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:15:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:15:00 05/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:15:00 05/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:15:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [00:15:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:15:00 05/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 05/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:15:00 05/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:15:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:15:00 05/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:15:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:15:00 05/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:15:00 05/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:15:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:15:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [00:15:00 05/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [00:15:00 05/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:15:00 05/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 806 u1: ml/B st: NotStopd t0: [00:15:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:15:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:15:00 05/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [01:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [01:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [01:00:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 05/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 05/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 05/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 05/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 05/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 05/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 123 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 05/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 05/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 05/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 05/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [02:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [02:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [02:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [02:00:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 1520 cv: 1520 ap: none t0: [23:00:00 05/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -1158.3 cv: -1158.3 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 260 cv: 4059 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 91.7 cv: 2200.8 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 361.7 cv: 6994.8 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 10 cv: 235 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 270 cv: 2058 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -1158.3 cv: -913.2 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 1520 cv: 7908 ap: none t0: [23:00:00 05/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -1158.3 cv: 22675.8 ap: none
t0: [02:19:00 05/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [02:19:00 05/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd
t0: [02:00:00 05/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.4 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.4 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.1 u1: % rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 122 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.4 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.4 rs: Final st: NotStopd
t0: [02:00:00 05/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 45 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 44 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 45 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.8 rs: Final st: NotStopd
t0: [02:00:00 05/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [02:00:00 05/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31 rs: Final st: NotStopd
t0: [00:00:00 05/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 05/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 05/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 05/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 05/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 05/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 05/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 05/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [04:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 05/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal st: NotStopd t0: [04:00:00 05/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 05/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 05/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 05/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 05/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 05/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 05/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 05/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 05/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 05/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 05/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 05/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 05/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 05/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 05/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 05/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 05/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 05/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 05/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 05/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 05/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [04:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 05/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 05/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 05/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 05/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 05/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 05/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 05/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 05/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 05/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 05/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 05/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 05/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 05/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 05/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 05/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 05/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 05/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 05/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 05/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 05/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 05/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 05/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [04:00:00 05/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [04:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 05/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 05/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 05/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [03:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [03:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [03:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [04:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [04:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [04:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [04:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml
t0: [03:00:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 05/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [04:00:00 05/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 05/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [04:00:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 05/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 05/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 05/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 05/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 05/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.8 u1: L/min st: NotStopd t0: [04:00:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 05/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 05/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 05/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 05/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 05/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 05/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [04:00:00 05/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 05/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 807 u1: ml/B st: NotStopd t0: [04:00:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 05/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 146 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [05:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [05:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:00:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [05:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 91.7 vu: ml t0: [05:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [05:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 6 vu: ml t0: [05:00:00 05/11/2010] id: duodenal el: 1 cu: C-SICU cg: RN vu: ml t0: [05:00:00 05/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vu: ml t0: [05:00:00 05/11/2010] tf: [08:00:00 12/11/2010] dt: 10260 id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 600 vu: ml t0: [05:00:00 05/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [05:00:00 05/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 1200 vu: ml
t0: [05:00:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [05:30:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 50 vu: ml t0: [05:30:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 45.85 vu: ml t0: [05:30:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 5 vu: ml st: Stopped t0: [05:30:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: RN ai: 304 vo: 3 vu: ml st: Stopped
t0: [05:30:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:30:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:30:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [05:30:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [05:30:00 05/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [05:30:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd
t0: [05:30:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 134 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [05:30:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg st: NotStopd
t0: [05:30:00 05/11/2010] id: Vasopressin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [06:00:00 05/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 05/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 05/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 05/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 05/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [06:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 05/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [06:00:00 05/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 05/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 05/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 05/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [06:00:00 05/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 155 rs: Manual st: NotStopd
t0: [06:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 50 vu: ml t0: [06:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 45.85 vu: ml t0: [06:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 0 vu: ml st: Restart t0: [06:00:00 05/11/2010] id: duodenal el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [06:00:00 05/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [23:00:00 05/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [05:45:00 05/11/2010] tf: [11:00:00 07/11/2010] dt: 3195 id: duodenal el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [07:00:00 05/11/2010] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: C-SICU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [07:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [07:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 05/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 05/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 05/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 05/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 05/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 05/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 05/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 05/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 05/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 05/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 05/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 05/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 05/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 05/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 05/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 05/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 05/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 05/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 05/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 05/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 05/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 05/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 05/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 05/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 05/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 05/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 05/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 05/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 05/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 05/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 05/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 05/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 05/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 05/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 05/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 05/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [08:00:00 05/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 05/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 05/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 05/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 05/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 05/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 05/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 05/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 05/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [08:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 183.4 vu: ml t0: [08:00:00 05/11/2010] tf: [00:00:00 09/11/2010] dt: 5280 id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [08:00:00 05/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 54.5455 u1: ml/cmH st: NotStopd t0: [08:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 05/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [08:00:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 05/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 05/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 05/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 05/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.6 u1: L/min st: NotStopd t0: [08:00:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 05/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 05/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 05/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [08:00:00 05/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 05/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [09:00:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
pt: TPN tf: [15:00:00 05/11/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5 u1: mg
t0: [10:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [10:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [10:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 183.4 vu: ml t0: [10:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [09:00:00 05/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: EKG st: NotStopd
id: KCL el: 100 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [08:00:00 05/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 05/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 05/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 05/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [12:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 05/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 05/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 05/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 05/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 05/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 05/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 05/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 05/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 05/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 05/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 05/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [12:00:00 05/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 05/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 05/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 05/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 05/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 05/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 05/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 05/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 05/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 122 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 05/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 05/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 05/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 05/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 05/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 05/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 05/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 05/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 05/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 05/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 05/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 05/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 05/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 05/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 138 rs: Manual st: NotStopd t0: [12:00:00 05/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 05/11/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 183.4 vu: ml t0: [12:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [12:00:00 05/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [12:00:00 05/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 900 vu: ml
t0: [12:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 05/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [12:00:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 05/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 05/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 05/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [12:00:00 05/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.3 u1: L/min st: NotStopd t0: [12:00:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [12:00:00 05/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [12:00:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:22:00 05/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [12:22:00 05/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.98 rs: Final st: NotStopd t0: [12:22:00 05/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [13:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [13:00:00 05/11/2010] tf: [21:17:00 07/12/2010] dt: 46577 id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
tf: [15:00:00 05/11/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 1-2 u1: mg tf: [11:00:00 13/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 13 dn: 1 m1: Amphotericin B v1: 70 u1: mg m2: D5W v2: 250 u2: ml
t0: [14:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [14:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 05/11/2010] tf: [22:00:00 17/11/2010] dt: 17760 id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml t0: [14:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [14:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [14:00:00 05/11/2010] tf: [03:00:00 07/11/2010] dt: 2220 id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [14:00:00 05/11/2010] tf: [21:00:00 11/11/2010] dt: 9060 id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
tf: [16:00:00 05/11/2010] pt: Unit Dose rt: IV fr: Q6H fs: 15, 21, 3, 9 dn: 4 m1: Metoprolol v1: 2.5 u1: mg
tf: [17:00:00 05/11/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 1-2 u1: mg tf: [07:00:00 06/11/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5-1 u1: mg
t0: [16:00:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [12:00:00 05/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [15:00:00 05/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 05/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 05/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 05/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 05/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [16:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 05/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 05/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [16:00:00 05/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 05/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 05/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 05/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [16:00:00 05/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 05/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [16:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 05/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 05/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 05/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 05/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 05/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 05/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 05/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 05/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 05/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 05/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 05/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 05/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 05/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 05/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 05/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 05/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 05/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 05/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 05/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 22.4 u1: L/min st: NotStopd t0: [16:00:00 05/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 05/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 05/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 05/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 05/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 136 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [16:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 05/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 05/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 05/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 05/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 05/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 05/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 05/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 05/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 05/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 05/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 05/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 05/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 05/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [16:00:00 05/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 05/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [16:00:00 05/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 05/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 05/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [16:00:00 05/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [16:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 05/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 880 u1: ml/B st: NotStopd t0: [16:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 05/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 05/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 05/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 05/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [14:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [16:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [16:00:00 05/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml t0: [16:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [16:00:00 05/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 05/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push v2: IV Push st: NotStopd
t0: [17:00:00 05/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 550 vu: ml t0: [17:00:00 05/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 600 vu: ml
id: TPN w/Lipids el: 1 cu: C-SICU cg: RN io: TPN w/Lipids 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 05/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [18:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [18:00:00 05/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml nb: 1 t0: [18:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
tf: [07:00:00 06/11/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 1-4 u1: mg
t0: [18:12:00 05/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.04 rs: Final st: NotStopd t0: [18:12:00 05/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [20:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 05/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 05/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 05/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 05/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 05/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 05/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 05/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 05/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 05/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 05/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 05/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 05/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 05/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 05/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 05/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 05/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 05/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 05/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 05/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 05/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 05/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 05/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 05/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 05/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 05/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 05/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 05/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 05/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 05/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 05/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 05/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 05/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 05/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 05/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 05/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 05/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 05/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 05/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 05/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 05/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 05/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 05/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 05/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 05/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 05/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 05/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 05/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 05/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 05/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 05/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:00:00 05/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 05/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 05/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 05/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 05/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 05/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 05/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [20:00:00 05/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 05/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 05/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 05/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 05/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 05/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 05/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 05/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 05/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [20:00:00 05/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [20:00:00 05/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml t0: [20:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [20:00:00 05/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 05/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:10:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:10:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:10:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:10:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:10:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:10:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:10:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:10:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [20:10:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:10:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 05/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:30:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:30:00 05/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:30:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:30:00 05/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:30:00 05/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:30:00 05/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:30:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:30:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 05/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:30:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:30:00 05/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:30:00 05/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:30:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.7 u1: L/min st: NotStopd t0: [20:30:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:30:00 05/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:30:00 05/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:30:00 05/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:30:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 16 u1: . st: NotStopd t0: [20:30:00 05/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:30:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [20:30:00 05/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:30:00 05/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:30:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [20:30:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:30:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:30:00 05/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:30:00 05/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:30:00 05/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 713 u1: ml/B st: NotStopd t0: [20:30:00 05/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:30:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:30:00 05/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:55:00 05/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.99 rs: Final st: NotStopd t0: [20:55:00 05/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
tf: [11:00:00 07/11/2010] pt: Unit Dose rt: IV fr: Q6H fs: 15, 21, 3, 9 dn: 4 m1: Metoprolol v1: 5 u1: mg
t0: [21:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [21:00:00 05/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [21:00:00 05/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [21:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [21:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [21:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 05/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [21:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 500 vu: ml t0: [21:00:00 05/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [21:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [22:00:00 05/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [22:00:00 05/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 05/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 05/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [22:00:00 05/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [22:00:00 05/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [22:00:00 05/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [22:00:00 05/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [22:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [22:00:00 05/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [21:00:00 06/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm
t0: [20:00:00 05/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 05/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 05/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:15:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:15:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:15:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:15:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:15:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [21:15:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:15:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:15:00 05/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [21:15:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:15:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:30:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:30:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:30:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:30:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [21:30:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:30:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:30:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:45:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:45:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:45:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:45:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [21:45:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:45:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:45:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:45:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [21:45:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:45:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [22:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [22:00:00 05/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:30:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:30:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [22:30:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [22:30:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:30:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:30:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [22:30:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:30:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:30:00 05/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:30:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:30:00 05/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:30:00 05/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:30:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [22:00:00 05/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 40 vu: ml t0: [22:00:00 05/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [22:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [22:00:00 05/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 500 vu: ml
t0: [23:00:00 05/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
t0: [23:00:00 05/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 05/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 05/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [23:00:00 05/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 05/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [23:00:00 05/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 05/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 05/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 05/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 05/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 05/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [23:00:00 05/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 250 vu: ml t0: [23:00:00 05/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [23:00:00 05/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [23:00:00 05/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [23:00:00 05/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 350 vu: ml t0: [23:00:00 05/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [23:00:00 05/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN pv: 350 cv: 550 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 500 cv: 3200 ap: none t0: [23:00:00 05/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN pv: 400 cv: 1800 ap: none
t0: [00:00:00 06/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [00:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [00:00:00 06/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [00:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 06/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 06/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.4 u1: L/min st: NotStopd t0: [00:00:00 06/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 06/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 06/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 06/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 711 u1: ml/B st: NotStopd t0: [00:00:00 06/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 06/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 221 u1: ml/B st: NotStopd t0: [00:00:00 06/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 06/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 05/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 06/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 06/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 06/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 06/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 06/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 06/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 06/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 06/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 06/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 06/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 06/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 06/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 06/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 06/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 06/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 06/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 06/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 06/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 06/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 06/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 06/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 06/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 06/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 06/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 06/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 06/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 06/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 06/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 06/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 06/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 06/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 06/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [00:00:00 06/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 06/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 06/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 06/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 06/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 06/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 06/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 06/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 06/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 06/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 06/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 06/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 06/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 06/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 06/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 06/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 06/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 06/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 06/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 06/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 06/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 06/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 06/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 06/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 06/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 06/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 06/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [00:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [00:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [01:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 20 t0: [01:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [01:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd
t0: [01:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [02:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 06/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [02:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml t0: [02:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [23:00:00 06/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 06/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 3866.9 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2117.1 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 6714 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 230 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 5560 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 154 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 6560 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none t0: [23:00:00 06/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 22829.8 ap: none
t0: [03:13:00 06/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 151 u1: mmHg rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd
t0: [03:13:00 06/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.5 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.5 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.5 u1: % rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.5 rs: Final st: NotStopd
t0: [03:13:00 06/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 36.1 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 36.1 rs: Final st: NotStopd
tf: [15:00:00 06/11/2010] pt: Unit Dose rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Albumin 25% (12.5gm) v1: 25 u1: gm
t0: [04:00:00 06/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 46.1538 u1: ml/cmH st: NotStopd t0: [04:00:00 06/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 28 t0: [04:00:00 06/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 06/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 06/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.3 u1: L/min st: NotStopd t0: [04:00:00 06/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 06/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 06/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 06/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 626 u1: ml/B st: NotStopd t0: [04:00:00 06/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 06/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 334 u1: ml/B st: NotStopd t0: [04:00:00 06/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 06/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 06/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 06/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 06/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 06/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [04:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 06/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 06/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 06/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 06/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 06/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 06/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 06/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 06/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 06/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 06/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 06/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 06/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 06/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 06/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 06/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 06/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 06/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 06/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 06/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 06/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 06/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 06/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 06/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 06/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 06/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 06/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 06/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 06/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 06/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 06/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 06/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 06/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 06/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 06/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 06/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 06/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 06/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 06/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 06/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 06/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 06/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 06/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 06/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 06/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 06/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 06/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 06/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 06/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 06/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 06/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 06/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 06/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 06/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 06/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 06/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 06/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 06/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 06/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 06/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 06/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 06/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 06/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vu: ml t0: [02:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 500 vu: ml t0: [02:00:00 06/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vu: ml t0: [03:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 500 vu: ml t0: [03:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [03:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [04:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [04:00:00 06/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [04:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [04:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [03:13:00 06/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 45 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 45 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [03:13:00 06/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd
id: Albumin 25% el: 1 cu: C-SICU cg: RN io: Albumin 25% Tube Feeding du: ml rt: Intravenous Push
t0: [03:00:00 06/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 06/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 06/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:00:00 06/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vu: ml t0: [04:00:00 06/11/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: RN ai: 107 vu: ml uh: 1 t0: [05:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [05:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [05:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [05:00:00 06/11/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: RN ai: 107 vu: ml uh: 1
t0: [05:30:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:30:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:30:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:30:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:30:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:30:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [05:30:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:30:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:30:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:30:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:30:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:30:00 06/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [05:30:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 500 vu: ml
t0: [03:13:00 06/11/2010] id: Vancomycin/Trough Drug Level el: 0 cu: C-SICU cg: 3161 v1: 19.3 rs: Final st: NotStopd
t0: [06:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [06:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [06:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [07:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [07:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [07:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [07:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 06/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [07:00:00 06/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [07:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [06:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 5 vu: ml t0: [06:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [06:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [08:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [08:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [08:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [08:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [08:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml t0: [08:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [08:00:00 06/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 500 vu: ml
pt: TPN tf: [07:00:00 06/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm tf: [07:00:00 07/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm tf: [09:00:00 12/11/2010] pt: Unit Dose rt: IV fr: Q3-4H:PRN m1: Morphine Sulfate v1: 1-4 u1: mg tf: [09:00:00 12/11/2010] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Lorazepam v1: 0.5-1 u1: mg
t0: [08:00:00 06/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [08:00:00 06/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd
t0: [08:00:00 06/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 06/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 06/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 06/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 06/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 06/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 06/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 06/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 06/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 06/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 06/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 06/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 06/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 06/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 06/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 06/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 06/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 06/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 06/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 06/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 06/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 06/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 06/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 06/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 06/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 06/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 06/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 06/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 06/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 06/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 06/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 06/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 06/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 06/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 06/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 06/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 06/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 06/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 06/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 60 u1: ml/cmH st: NotStopd t0: [08:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 28 t0: [08:00:00 06/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 06/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 06/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [08:00:00 06/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 06/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 06/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 06/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [08:00:00 06/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 06/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [08:00:00 06/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 06/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 06/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 06/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 06/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 06/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [08:00:00 06/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd
t0: [08:53:00 06/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 135 u1: mmHg rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [08:53:00 06/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [09:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [09:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [09:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [09:00:00 06/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 80 vu: ml t0: [09:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [09:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [09:00:00 06/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 06/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [09:00:00 06/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 06/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [09:00:00 06/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [09:00:00 06/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [09:00:00 06/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd
t0: [10:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [10:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [10:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [10:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [10:00:00 06/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [10:00:00 06/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [10:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [11:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [11:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [11:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [11:00:00 06/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [11:00:00 06/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [11:00:00 06/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 5 vu: ml
t0: [12:00:00 06/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 28 t0: [12:00:00 06/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 06/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [12:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:00:00 06/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 06/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [12:00:00 06/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 06/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 06/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 06/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 06/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [12:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 06/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [12:00:00 06/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 06/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [12:00:00 06/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 06/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 06/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 06/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 06/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 06/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 06/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 06/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 06/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 06/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 06/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 06/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 06/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 06/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 06/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 06/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 06/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [12:00:00 06/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Reinforced st: NotStopd t0: [12:00:00 06/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 06/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 06/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 06/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 06/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 06/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 06/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 06/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 06/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 06/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 06/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 06/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 06/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 06/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 06/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 06/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 06/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 06/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 06/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 06/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 06/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 06/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 06/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 06/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 06/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 06/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 06/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 06/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 06/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 06/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 06/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 06/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 06/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [12:00:00 06/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 06/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 06/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 06/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 06/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 06/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 06/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [12:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [12:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [12:00:00 06/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 100 rs: Manual st: NotStopd
id: Amphotericin B el: 100 cu: C-SICU cg: RN io: D5W 41.2ml IV Infusions am: 70 du: mg rt: Intravenous Push
t0: [13:00:00 06/11/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 41.2ml IV Infusions vo: 41.2 du: ml rt: Intravenous Infusion
t0: [13:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [13:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [13:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [13:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [14:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [14:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [14:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [14:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [14:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 06/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 06/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
id: Amphotericin B el: 101 cu: C-SICU cg: RN io: D5W IV Infusions am: 70 du: mg rt: Intravenous Push
io: D5W IV Infusions el: 1 cu: C-SICU cg: RN ra: 41.7 ru: ml/hr
id: D5W el: 1 cu: C-SICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Infusion
t0: [15:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [15:00:00 06/11/2010] tf: [14:00:00 07/11/2010] dt: 1380 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [15:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml t0: [15:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [15:18:00 06/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.06 rs: Final st: NotStopd t0: [15:18:00 06/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [16:00:00 06/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [16:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 28 t0: [16:00:00 06/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 06/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [16:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:00:00 06/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 06/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [16:00:00 06/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 06/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 06/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [16:00:00 06/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:00:00 06/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 06/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [16:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 06/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 635 u1: ml/B st: NotStopd t0: [16:00:00 06/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 06/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [16:00:00 06/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 06/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [16:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 06/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [17:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [17:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [17:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [17:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 183.4 vu: ml t0: [17:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [17:00:00 06/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 06/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [17:00:00 06/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd
t0: [16:00:00 06/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 06/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 06/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 06/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 06/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 06/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 06/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 06/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 06/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 06/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 06/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 06/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 06/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 06/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 06/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 06/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 06/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 06/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 06/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 06/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 06/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 06/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 06/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 06/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 06/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 06/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 06/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd
t0: [18:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 06/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [18:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [18:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 91.7 vu: ml nb: 1 t0: [18:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [16:00:00 06/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 06/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 06/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 06/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 06/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 06/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 06/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 06/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 06/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 06/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 06/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 06/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 06/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 06/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 06/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 06/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 06/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 06/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 06/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 06/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 06/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 06/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 06/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 06/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 06/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 06/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [18:00:00 06/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [18:00:00 06/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml t0: [18:00:00 06/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [23:00:00 06/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 450 ap: none t0: [23:00:00 06/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN cv: 550 ap: none
t0: [19:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [19:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [19:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [19:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [19:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [19:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [19:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [20:00:00 06/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [20:00:00 06/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 06/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 28 t0: [20:00:00 06/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 06/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 06/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 06/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 06/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 06/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:00:00 06/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [20:00:00 06/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [20:00:00 06/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 06/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 06/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 06/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 06/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 06/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 06/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 06/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 06/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 06/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 06/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 06/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [21:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [20:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [20:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [20:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [21:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [21:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [21:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [21:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [21:00:00 06/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [21:00:00 06/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 06/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [21:00:00 06/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 06/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [21:00:00 06/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [21:00:00 06/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [21:00:00 06/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [21:00:00 06/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [21:00:00 06/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [21:00:00 06/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:00:00 06/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 06/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 06/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 06/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 06/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [21:00:00 06/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 06/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [21:00:00 06/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [21:00:00 06/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [21:00:00 06/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [21:00:00 06/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 06/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [21:00:00 06/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 06/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [21:00:00 06/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [21:00:00 06/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 06/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 06/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 06/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [21:00:00 06/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [21:00:00 06/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 06/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 06/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [21:00:00 06/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [21:00:00 06/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 06/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 06/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 06/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [21:00:00 06/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [21:00:00 06/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [21:00:00 06/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 06/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 06/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [21:00:00 06/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [21:00:00 06/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [21:00:00 06/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [21:00:00 06/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [21:00:00 06/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 06/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [21:00:00 06/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 06/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 06/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [21:00:00 06/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 06/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [21:00:00 06/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 06/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 06/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [21:00:00 06/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [21:00:00 06/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 06/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 06/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 06/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [22:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [22:00:00 06/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [22:00:00 06/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [23:00:00 06/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 06/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [23:00:00 06/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 06/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 06/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [23:00:00 06/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [23:00:00 06/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 06/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [00:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [00:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 07/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 07/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [00:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [00:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.4 vu: ml t0: [00:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [00:00:00 07/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [00:00:00 07/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 07/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 07/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 07/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 07/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 07/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 07/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [00:00:00 07/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19 u1: L/min st: NotStopd t0: [00:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 07/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 07/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 07/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 07/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 07/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 07/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 07/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 07/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 07/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 07/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 122 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [01:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [04:00:00 07/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 66.6667 u1: ml/cmH st: NotStopd t0: [04:00:00 07/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 07/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [04:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 07/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 07/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 07/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 07/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 07/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 07/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16 u1: L/min st: NotStopd t0: [04:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 07/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 07/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 07/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 07/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 07/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [04:00:00 07/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 07/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 07/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 07/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [02:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [02:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 40 vu: ml t0: [04:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 374.8 vu: ml t0: [04:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml
t0: [04:00:00 07/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [04:00:00 07/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 350 vu: ml t0: [04:00:00 07/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [04:17:00 07/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [04:17:00 07/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [04:17:00 07/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:17:00 07/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [04:17:00 07/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [04:17:00 07/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [04:17:00 07/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd
t0: [00:00:00 07/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 07/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 07/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 07/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 07/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 07/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 07/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 07/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 07/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 07/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 07/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 07/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 07/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 07/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 07/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 07/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 07/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 07/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 07/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 07/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 07/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 07/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 07/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 07/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 07/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 07/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 07/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 07/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 07/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 07/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 07/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 07/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 07/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 07/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 07/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 07/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 07/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 07/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 07/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Normal st: NotStopd t0: [04:00:00 07/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 07/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [04:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 07/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 07/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [05:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [05:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [05:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [05:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [05:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [05:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [04:00:00 07/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.1 u1: % rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10 rs: Final st: NotStopd
t0: [04:00:00 07/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.3 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.3 rs: Final st: NotStopd
t0: [04:00:00 07/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:00:00 07/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [05:00:00 07/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 07/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [05:00:00 07/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [06:30:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:30:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:30:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:30:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:30:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:30:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:30:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:30:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd
t0: [06:30:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN u1: BPM st: NotStopd t0: [06:30:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN st: NotStopd t0: [06:30:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN u1: kg st: NotStopd
t0: [22:00:00 06/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [00:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [04:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [05:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [06:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [06:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [06:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [21:00:00 06/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 2 vu: ml t0: [23:00:00 06/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 5 vu: ml t0: [03:00:00 07/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 0 vu: ml
t0: [08:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [08:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [08:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [08:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.4 vu: ml t0: [08:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [08:00:00 07/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 07/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [08:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 07/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 07/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 07/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 07/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [08:00:00 07/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 07/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 07/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [08:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 07/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 07/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [08:00:00 07/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 07/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 07/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 07/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 07/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 07/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [08:00:00 07/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 07/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 07/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 07/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 07/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 07/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 07/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 07/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 07/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 07/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 07/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 07/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 07/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 07/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 07/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [08:00:00 07/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 07/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 07/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 07/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 07/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 07/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 07/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 07/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 07/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 07/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 07/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 07/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 07/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 07/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 07/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [08:00:00 07/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 07/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 07/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 07/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 07/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 07/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 07/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 07/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 07/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 07/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 07/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 07/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 07/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 07/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 07/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 07/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 07/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 07/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 07/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 07/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 07/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 07/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [08:00:00 07/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 07/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 07/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 07/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 07/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [09:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [09:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 07/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 07/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [09:00:00 07/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [09:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [09:00:00 07/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 100 vu: ml nb: 1 t0: [09:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [09:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [10:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 07/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 07/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 07/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [10:00:00 07/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 07/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [10:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [10:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [10:07:00 07/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.06 rs: Final st: NotStopd t0: [10:07:00 07/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [10:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd
t0: [11:00:00 07/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: PressSore Drng/Amt#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: PressSore Drng/Amt#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: Pressure Sore Odor#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 07/11/2010] id: Pressure Sore Odor#2 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [11:00:00 07/11/2010] id: duodenal el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd t0: [11:00:00 07/11/2010] id: Gastric Nasogastric el: 2 cu: C-SICU cg: -1 vo: 0 st: D/C'd
pt: TPN
t0: [11:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [11:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [11:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [11:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [11:00:00 07/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 350 vu: ml
t0: [08:00:00 07/11/2010] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [11:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 07/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [11:00:00 07/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 07/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 07/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 07/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 07/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 07/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 07/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [11:00:00 07/11/2010] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 07/11/2010] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [11:00:00 07/11/2010] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 07/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN st: NotStopd t0: [11:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [11:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 07/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [11:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 07/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [11:00:00 07/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [10:00:00 07/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 07/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [12:00:00 07/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 07/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [12:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 07/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 07/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 07/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 07/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [12:00:00 07/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 07/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:00:00 07/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [12:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 07/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 07/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 07/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 820 u1: ml/B st: NotStopd t0: [12:00:00 07/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 07/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 07/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 07/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [12:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [12:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
tf: [12:00:00 08/11/2010] pt: Unit Dose rt: IV fr: Q4H fs: 12, 16, 20, 0, 4, 8 dn: 6 m1: Metoprolol v1: 5 u1: mg
t0: [12:00:00 07/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 07/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 07/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 07/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 07/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 07/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 07/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 07/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 07/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 07/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 07/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 07/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 07/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 07/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 07/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 07/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 07/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 07/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 07/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 07/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 07/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 07/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 07/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 07/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 07/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [13:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [13:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [13:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [14:01:00 07/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 156 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [14:01:00 07/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [14:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 07/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [14:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 07/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 07/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 07/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 07/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 07/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 07/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [14:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [14:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [14:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd
t0: [14:00:00 07/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 07/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [14:00:00 07/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [16:00:00 07/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 07/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [16:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 07/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 07/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 07/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 07/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [16:00:00 07/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 07/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:00:00 07/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.1 u1: L/min st: NotStopd t0: [16:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:00:00 07/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:00:00 07/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2.5 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 07/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [16:00:00 07/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 07/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 07/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: EKG st: NotStopd t0: [15:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/11/2010] tf: [23:00:00 08/11/2010] dt: 1920 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [15:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [15:00:00 07/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [15:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [15:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [15:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [16:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [16:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [16:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [16:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [17:00:00 07/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml t0: [17:00:00 07/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [16:00:00 07/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 07/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 07/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [15:00:00 07/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 07/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 07/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 07/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 07/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 07/11/2010] id: IV #1 Reason DC'D el: 0 cu: C-SICU cg: RN v1: Infiltrated st: NotStopd t0: [16:00:00 07/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 07/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 07/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 07/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 07/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 07/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 07/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 07/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 07/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 07/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 07/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [16:00:00 07/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: Infiltrated st: NotStopd t0: [16:00:00 07/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 07/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 07/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 07/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 07/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 07/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 07/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 07/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 07/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 07/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 07/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 07/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 07/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 07/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 07/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 07/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 07/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 07/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 07/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 07/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 07/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [17:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [17:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [17:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [17:00:00 07/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 400 vu: ml
t0: [17:06:00 07/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [17:06:00 07/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [17:06:00 07/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:06:00 07/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [17:06:00 07/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [17:06:00 07/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [17:06:00 07/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd
t0: [17:14:00 07/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [17:14:00 07/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [18:00:00 07/11/2010] id: IV #1 Reason DC'D el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [18:00:00 07/11/2010] id: IV #1 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [18:00:00 07/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [18:00:00 07/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [18:00:00 07/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [18:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [18:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [18:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [18:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [18:00:00 07/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [18:00:00 07/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 50 vu: ml
t0: [16:00:00 07/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 07/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 07/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 07/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 07/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 07/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 07/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 07/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 07/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 07/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 07/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [18:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 07/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd
tf: [20:00:00 07/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [11:00:00 09/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl v1: 1250 u1: mg m2: D5W v2: 250 u2: ml
t0: [20:00:00 07/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 07/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [20:00:00 07/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 07/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 07/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 07/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 07/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 07/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:00:00 07/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 07/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.1 u1: L/min st: NotStopd t0: [20:00:00 07/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 07/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 07/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 07/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 07/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 07/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 07/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 07/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 07/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 07/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 07/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 07/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 07/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 07/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 07/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 07/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 07/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 07/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 07/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 07/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 07/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 07/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 07/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 07/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [20:00:00 07/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 07/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 07/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 07/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 07/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 07/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 07/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 07/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 07/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 07/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 07/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 07/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 07/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 07/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 07/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 07/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 07/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 07/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 07/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 07/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 07/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 07/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 07/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 07/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [20:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [20:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.4 vu: ml t0: [20:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [20:36:00 07/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 113 u1: mmHg rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [20:36:00 07/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [21:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [21:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [21:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [21:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [21:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [19:44:00 07/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: 3161 v1: 17.5 rs: Final st: NotStopd
t0: [20:00:00 07/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 07/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [22:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 20.9 vu: ml t0: [22:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [22:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 20.85 vu: ml t0: [22:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [22:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [23:00:00 07/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 07/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 07/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 07/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 07/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 07/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 07/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 07/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 07/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 07/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 07/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 07/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 07/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 07/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 07/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 07/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 07/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 07/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 07/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [23:00:00 07/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [23:00:00 07/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [23:00:00 07/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [23:00:00 07/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [23:00:00 07/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [23:00:00 07/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [23:00:00 07/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [23:00:00 07/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 530 cv: 530 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 93.7 cv: 2342.5 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 10 cv: 250 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 230 cv: 3470 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 530 cv: 5770 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN pv: 50 cv: 1150 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 150 cv: 600 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN pv: 100 cv: 550 ap: none
t0: [00:00:00 08/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 08/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [00:00:00 08/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 08/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 08/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 08/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 08/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 08/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 08/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 08/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.9 u1: L/min st: NotStopd t0: [00:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 08/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 08/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [00:00:00 08/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [00:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 08/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 07/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 07/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 07/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 07/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 07/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [23:00:00 07/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 08/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 08/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 08/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 08/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [00:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [00:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [00:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [01:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [01:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [01:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [01:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml
t0: [23:00:00 07/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -224.6 cv: -224.6 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 201.7 cv: 2995.35 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 305.4 cv: 5587.85 ap: none t0: [23:00:00 07/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -224.6 cv: -182.15 ap: none t0: [23:00:00 07/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -224.6 cv: 22647.6 ap: none
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [02:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [02:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [02:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [02:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 08/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 08/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 08/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 08/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [02:00:00 08/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [02:00:00 08/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [02:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml nb: 1 t0: [02:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [02:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [02:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [02:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 0 vu: ml nb: 1
t0: [23:00:00 08/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 500 cv: 500 ap: none t0: [23:00:00 08/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -306.1 cv: -306.1 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 60 cv: 3697.2 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 93.9 cv: 2251.8 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 193.9 cv: 6549 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 40 cv: 540 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 250 cv: 3485 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -306.1 cv: 1819 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 500 cv: 4730 ap: none t0: [23:00:00 08/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -306.1 cv: 24466.6 ap: none
t0: [03:15:00 08/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 31.5 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 31.5 rs: Final st: NotStopd
t0: [03:41:00 08/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:41:00 08/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:41:00 08/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:41:00 08/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 08/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 08/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:41:00 08/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.32 rs: Final st: NotStopd
t0: [03:15:00 08/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 35 u1: % rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 161 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 rs: Final st: NotStopd
t0: [03:15:00 08/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 51 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 51 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [03:15:00 08/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [04:00:00 08/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 08/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [04:00:00 08/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 08/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 08/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 08/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 08/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 08/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 08/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 08/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [04:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 08/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 08/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 08/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [04:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 08/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [03:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [04:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [04:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.4 vu: ml t0: [04:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [04:00:00 08/11/2010] tf: [22:00:00 09/11/2010] dt: 2520 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml
t0: [06:00:00 08/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 76.3158 u1: units st: NotStopd t0: [06:00:00 08/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 76.3158 u1: units st: NotStopd t0: [06:00:00 08/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [06:00:00 08/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.38 u1: L st: NotStopd
t0: [06:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd
t0: [00:00:00 08/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [04:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [05:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [05:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [05:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [05:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [05:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [05:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [05:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [05:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [05:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 08/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 08/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [05:00:00 08/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [05:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [05:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [06:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [06:00:00 08/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [06:00:00 08/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 08/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 08/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [06:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [06:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 08/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 100 vu: ml t0: [05:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [05:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [05:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [05:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [05:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [06:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [06:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.7 vu: ml t0: [06:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [06:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 08/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 120 vu: ml t0: [06:00:00 08/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 125 vu: ml t0: [06:00:00 08/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 180 vu: ml
t0: [07:04:00 08/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [07:04:00 08/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [07:04:00 08/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [07:04:00 08/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [07:04:00 08/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [07:04:00 08/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [08:00:00 08/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 08/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [08:00:00 08/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 08/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 08/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 08/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 08/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 08/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 08/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 08/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.3 u1: L/min st: NotStopd t0: [08:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 08/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 08/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 08/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 08/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [07:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.4 vu: ml t0: [08:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml
t0: [08:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 08/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 08/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 08/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 08/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 08/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 08/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [08:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 156 rs: Manual st: NotStopd t0: [08:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 08/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 08/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 08/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 08/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 08/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 08/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 08/11/2010] tf: [19:00:00 12/11/2010] dt: 6420 id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 5 vu: ml
t0: [08:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd
t0: [08:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [09:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [09:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [08:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [09:00:00 08/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 08/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 08/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [08:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vu: ml t0: [09:00:00 08/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vu: ml t0: [09:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml
t0: [08:00:00 08/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [08:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [08:00:00 08/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.47687 u1: m2 st: NotStopd t0: [08:00:00 08/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.71849 u1: m2 st: NotStopd t0: [08:00:00 08/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 08/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [09:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd
t0: [09:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [10:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [10:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [10:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [10:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [10:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [10:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [10:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [10:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [10:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [10:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [10:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 08/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [10:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [10:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [10:00:00 08/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [10:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [10:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [10:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [11:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [11:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Other st: NotStopd t0: [11:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [11:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [11:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [11:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [11:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [10:55:00 08/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 14.7738 u1: ml/dl st: NotStopd t0: [10:55:00 08/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.24 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [10:55:00 08/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
pt: TPN
t0: [12:00:00 08/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 08/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [12:00:00 08/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 08/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 08/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 08/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 08/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 08/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 08/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 08/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.9 u1: L/min st: NotStopd t0: [12:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 08/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [12:00:00 08/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 08/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [12:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 08/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [10:29:00 08/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [10:29:00 08/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [08:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 08/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 08/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 08/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 08/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [12:00:00 08/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 08/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 08/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 08/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [12:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [12:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [12:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 08/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 08/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 08/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 08/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 08/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 08/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 80 vu: ml t0: [12:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [12:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [12:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [12:00:00 08/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [13:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [13:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [13:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 08/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [13:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [13:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [13:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [13:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [10:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [12:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd
t0: [13:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [14:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [14:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [14:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [14:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [14:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [14:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [14:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [14:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [14:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [14:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [14:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [14:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [14:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [14:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [14:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 08/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [14:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [14:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [14:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [14:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [14:00:00 08/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 120 vu: ml
t0: [14:00:00 08/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 151 rs: Manual st: NotStopd
t0: [14:29:00 08/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:29:00 08/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [14:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [14:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 30 vu: ml
t0: [14:00:00 08/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 08/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 08/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [15:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 08/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [15:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [15:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [15:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [15:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [15:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [15:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [15:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 30 vu: ml t0: [15:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [15:00:00 08/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [15:00:00 08/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [12:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [14:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [14:00:00 08/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [16:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 08/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 08/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 08/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 10 vu: ml t0: [16:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [16:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [16:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 30 vu: ml t0: [16:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [16:00:00 08/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 08/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [16:00:00 08/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 08/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 08/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 08/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 08/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 08/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 08/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 08/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.3 u1: L/min st: NotStopd t0: [16:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 08/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:00:00 08/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 08/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [17:00:00 17/11/2010] pt: Unit Dose rt: IV fr: Q4H fs: 12, 16, 20, 0, 4, 8 dn: 6 m1: Metoprolol v1: 7.5 u1: mg
t0: [16:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd
t0: [16:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [17:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [17:00:00 08/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 08/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [17:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd
t0: [17:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [17:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [17:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [17:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [17:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 30 vu: ml t0: [17:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [17:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [18:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 08/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 08/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [18:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 08/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 08/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:00:00 08/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [18:00:00 08/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 08/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [18:00:00 08/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 08/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 08/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [18:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [18:00:00 08/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 08/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:15:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:15:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:15:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:15:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:15:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:15:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:15:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:15:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:15:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:15:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [18:15:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:15:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:15:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [18:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [18:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [18:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [18:00:00 08/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [23:00:00 08/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 375 ap: none
t0: [18:00:00 08/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml
t0: [18:30:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:30:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:30:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:30:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:30:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:30:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:30:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:30:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [18:30:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:30:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 08/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [19:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [19:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [19:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [19:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [19:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [19:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [08:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml
t0: [08:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:15:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:15:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:15:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:15:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:15:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:15:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [19:15:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:15:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:15:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:15:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:15:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [19:15:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:15:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:15:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
id: GT Flush el: 1 cu: C-SICU cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric
t0: [20:00:00 08/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 08/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 08/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 08/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 08/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 08/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 08/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 08/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 08/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 08/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 08/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 08/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 08/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 08/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 08/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 08/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 08/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 08/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 08/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous st: NotStopd t0: [20:00:00 08/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 08/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 08/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 08/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 08/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 08/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 08/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 08/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 08/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 08/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [20:00:00 08/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 08/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 08/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 08/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 08/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 08/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 08/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 08/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 08/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [20:00:00 08/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [20:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 08/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 08/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 08/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 460 vu: ml t0: [20:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [20:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [20:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [20:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [20:00:00 08/11/2010] tf: [19:00:00 12/11/2010] dt: 5700 id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml
t0: [23:00:00 08/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 60 ap: none
t0: [20:00:00 08/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [20:00:00 08/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 08/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [20:00:00 08/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 08/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [20:00:00 08/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 08/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 08/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 08/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:00:00 08/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 08/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [20:00:00 08/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 08/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 08/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 08/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 08/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 08/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [21:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [21:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [21:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [21:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [21:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [20:30:00 08/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [20:30:00 08/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [21:30:00 08/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [20:00:00 08/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 08/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [22:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml t0: [22:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [22:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [22:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [22:00:00 08/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 08/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 08/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 08/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 08/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 08/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 08/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [23:00:00 08/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [23:00:00 08/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 08/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 08/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 08/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 08/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 08/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [23:00:00 08/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 08/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 08/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 08/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 08/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 08/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [23:00:00 08/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [23:00:00 08/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:00:00 08/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 08/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 08/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 08/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [23:00:00 08/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 08/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 08/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [23:00:00 08/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 08/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 08/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 08/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 08/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 08/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 08/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 08/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 08/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 08/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [23:00:00 08/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [23:00:00 08/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [23:00:00 08/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [23:00:00 08/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [23:00:00 08/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 100 cv: 500 ap: none t0: [23:00:00 08/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN pv: 150 cv: 370 ap: none
t0: [00:00:00 09/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 46.1538 u1: ml/cmH st: NotStopd t0: [00:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [00:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [00:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.3 u1: L/min st: NotStopd t0: [00:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 09/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 09/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 09/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 09/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 08/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 08/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 08/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 08/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 08/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 08/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 08/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 08/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 09/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 09/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 09/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 09/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 09/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 09/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 09/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 09/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 09/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 09/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 09/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 09/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 09/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 09/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [00:00:00 09/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 09/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 09/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 09/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 09/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [00:00:00 09/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 09/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 09/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 09/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 09/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 09/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [00:00:00 09/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 09/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 09/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 09/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 09/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 09/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [00:30:00 09/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:30:00 09/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:30:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:30:00 09/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [00:30:00 09/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [00:30:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd
t0: [00:00:00 09/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 310 vu: ml t0: [00:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [00:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [01:00:00 09/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 09/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 09/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 09/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 09/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [01:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [01:00:00 09/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 09/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 09/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 09/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [23:00:00 08/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml st: Stopped t0: [00:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [00:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml st: Stopped t0: [01:00:00 09/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 110 vo: 300 vu: ml nb: 1 t0: [01:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [01:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml nb: 1
t0: [23:00:00 09/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 09/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 154.1 cv: 154.1 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 6332 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 94.1 cv: 2066.4 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 194.1 cv: 9213.4 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 815 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 40 cv: 2990 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 154.1 cv: 4158.4 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 40 cv: 5055 ap: none t0: [23:00:00 09/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 154.1 cv: 28625 ap: none
t0: [01:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [01:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [01:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 09/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 09/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [02:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [03:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.8 vu: ml t0: [03:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml
t0: [03:41:00 09/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [03:41:00 09/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [04:00:00 09/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 54.5455 u1: ml/cmH st: NotStopd t0: [04:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [04:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [04:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [04:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 09/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 09/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 09/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 09/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 09/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [03:30:00 09/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.6 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 29.8 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.6 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33.6 u1: % rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 29.8 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.59 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.6 rs: Final st: NotStopd
t0: [03:30:00 09/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 454 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [03:30:00 09/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 rs: Final st: NotStopd
t0: [02:00:00 09/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 09/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: Done t0: [04:00:00 09/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 09/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 09/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 09/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 09/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 09/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 09/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 09/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 09/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 09/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 09/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 09/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 09/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 09/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 09/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 09/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 09/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 09/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 09/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 09/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [04:00:00 09/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 09/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 09/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 09/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 09/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 09/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 09/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 09/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 09/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 09/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 09/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 09/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 09/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 09/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 09/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 09/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [05:00:00 09/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [05:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [05:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 09/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 09/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 09/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml st: Restart t0: [05:00:00 09/11/2010] tf: [18:30:00 09/11/2010] dt: 810 id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 0 vu: ml st: Restart t0: [05:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.8 vu: ml t0: [05:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [05:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml
t0: [05:00:00 09/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [05:20:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:20:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:20:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:20:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:20:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:20:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:20:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:20:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [05:20:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:20:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:20:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [05:20:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:20:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [05:20:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:20:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [05:20:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:20:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [06:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [06:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 40 vu: ml t0: [06:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 09/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 75 vu: ml t0: [06:00:00 09/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 175 vu: ml t0: [06:00:00 09/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 125 vu: ml
t0: [06:00:00 09/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 82.3529 u1: units st: NotStopd t0: [06:00:00 09/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 82.3529 u1: units st: NotStopd t0: [06:00:00 09/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [06:00:00 09/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.34 u1: L st: NotStopd t0: [06:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [07:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [07:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [07:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 09/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [07:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [07:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [07:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [08:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [08:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.4 u1: L/min st: NotStopd t0: [08:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 09/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 09/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 515 u1: ml/B st: NotStopd t0: [08:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:32:00 09/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 14.8586 u1: ml/dl st: NotStopd t0: [08:32:00 09/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [08:32:00 09/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [08:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [08:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 09/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 09/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 09/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 09/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 09/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 09/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 09/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 09/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 09/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 09/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 09/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 09/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 09/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 09/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 09/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 09/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 09/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 09/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 09/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [08:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [08:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 09/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [08:00:00 09/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 09/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 09/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 09/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 09/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 09/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 09/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 09/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [09:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [09:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:15:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:15:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:15:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:15:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:15:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:15:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [09:15:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:15:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [09:15:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:15:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [09:15:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:15:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 187.8 vu: ml t0: [08:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 80 vu: ml t0: [08:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml t0: [09:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [09:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 50 vu: ml t0: [09:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [08:49:00 09/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: 3161 v1: 19.3 rs: Final st: NotStopd t0: [09:30:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:30:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:30:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:30:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:30:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:30:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:30:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [09:30:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:30:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:30:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 09/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 09/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 09/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 09/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [10:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 09/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 09/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [10:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [10:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 50 vu: ml t0: [10:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
pt: TPN
t0: [11:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [11:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [11:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [11:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 50 vu: ml t0: [11:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [12:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [12:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [12:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.8 u1: L/min st: NotStopd t0: [12:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [12:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 567 u1: ml/B st: NotStopd t0: [12:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 09/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 09/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 09/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 09/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 09/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 09/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 09/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 09/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 09/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 09/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 09/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [12:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 09/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 09/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 09/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 09/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [12:00:00 09/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 09/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 09/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 09/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 09/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 09/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 09/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [12:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 09/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 09/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [12:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 09/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:00:00 09/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 158 rs: Manual st: NotStopd t0: [12:00:00 09/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 09/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 330 vu: ml t0: [08:00:00 09/11/2010] tf: [20:00:00 12/11/2010] dt: 5040 id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 320 vu: ml t0: [12:00:00 09/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [12:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [12:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 50 vu: ml t0: [12:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [13:00:00 09/11/2010] id: Fibrinogen Coags el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Uric Acid Chemistry el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Rec. Breath Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Rec.Breath Time(sec) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Recruit Breath el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Differential-Bands Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Differential-Basos Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Differential-Eos Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Differential-Lymphs Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Differential-Monos Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Differential-Polys Hematology el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Fibrinogen (150-400) Coags el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Troponin Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 09/11/2010] id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [13:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [13:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [13:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [13:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 60 vu: ml t0: [13:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [14:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [14:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 09/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [14:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [14:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [14:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 60 vu: ml t0: [14:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [14:00:00 09/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 50 vu: ml t0: [14:00:00 09/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 180 vu: ml t0: [14:00:00 09/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [14:00:00 09/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 90 vu: ml
t0: [14:54:00 09/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 14.9144 u1: ml/dl st: NotStopd t0: [14:54:00 09/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:54:00 09/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [14:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [14:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [15:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [15:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [15:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 60 vu: ml t0: [15:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [15:03:00 09/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [15:03:00 09/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [16:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [16:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.2 u1: L/min st: NotStopd t0: [16:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [16:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [16:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 506 u1: ml/B st: NotStopd t0: [16:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 09/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 09/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 09/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 09/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 09/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 09/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 09/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 09/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 09/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 09/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 09/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 09/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 09/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 09/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [16:00:00 09/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 09/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 09/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [16:00:00 09/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 09/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 09/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 09/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 09/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 09/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 09/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [16:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [16:00:00 09/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [16:00:00 09/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 09/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 09/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 09/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 09/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 09/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 09/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [17:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [17:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [17:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [16:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [16:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 60 vu: ml t0: [16:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [17:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml t0: [17:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 70 vu: ml t0: [17:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [17:10:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:10:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:10:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:10:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:10:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:10:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:10:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [17:10:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:10:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:10:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [17:10:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:10:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 09/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [17:20:00 09/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [17:25:00 09/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd
t0: [18:11:00 09/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 14.8865 u1: ml/dl st: NotStopd t0: [18:11:00 09/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 170 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 170 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [18:11:00 09/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [18:00:00 09/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [18:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 09/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [18:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 09/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 09/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [18:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 132 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [18:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [18:00:00 09/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 09/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 09/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 09/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 09/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 09/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 09/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [18:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 93.9 vu: ml nb: 1 t0: [18:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 70 vu: ml t0: [18:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [18:00:00 09/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 350 vu: ml t0: [18:00:00 09/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [18:00:00 09/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [18:00:00 09/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [23:00:00 09/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 325 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 365 ap: none t0: [23:00:00 09/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN cv: 655 ap: none
t0: [18:30:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:30:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:30:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:30:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:30:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:30:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [18:30:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:30:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [18:30:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [18:30:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [18:30:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:30:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 09/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [18:30:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 35 vu: ml st: Stopped
t0: [18:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [18:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [18:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [18:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [18:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [18:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [18:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [18:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [18:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [18:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [18:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [18:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [18:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [18:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [18:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [18:39:00 09/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.4 u1: % rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12 rs: Final st: NotStopd
t0: [18:00:00 09/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 09/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [19:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [19:00:00 09/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Ultrasound st: NotStopd t0: [19:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:39:00 09/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 69 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 414 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 rs: Final st: NotStopd
t0: [18:39:00 09/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 30.1 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [18:39:00 09/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 30.1 rs: Final st: NotStopd
t0: [20:00:00 09/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 09/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [20:00:00 09/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 09/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 09/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 09/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 09/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 09/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:00:00 09/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 09/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [20:00:00 09/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 09/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 09/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [20:00:00 09/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:00:00 09/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 09/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 09/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [20:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 09/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 09/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 09/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 09/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 09/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 09/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [20:00:00 09/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 09/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 188.2 vu: ml t0: [20:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vo: 0 vu: ml t0: [20:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml
t0: [18:39:00 09/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd
t0: [21:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [21:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: RN ai: 115 vu: ml st: Stopped
t0: [21:00:00 09/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 3.56592 u1: kg x m st: NotStopd t0: [21:00:00 09/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.68224 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 39.5352 u1: g * m st: NotStopd t0: [21:00:00 09/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 18.6916 u1: g*m/m2 st: NotStopd t0: [21:00:00 09/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 17.3913 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 37.2093 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 0.75072 u1: kg * m st: NotStopd t0: [21:00:00 09/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.350467 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 8.3232 u1: g * m st: NotStopd t0: [21:00:00 09/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 3.8785 u1: g*m/m2 st: NotStopd t0: [21:00:00 09/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 886.957 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1897.67 u1: ... st: NotStopd t0: [21:00:00 09/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.1111 u1: ml st: NotStopd t0: [21:00:00 09/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 61 u1: % st: NotStopd t0: [21:00:00 09/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.6 u1: L/min st: NotStopd
id: .9% Normal Saline el: 2 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [21:00:00 09/11/2010] tf: [11:00:00 10/11/2010] dt: 840 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 09/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vu: ml st: Stopped
t0: [21:00:00 09/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 218
t0: [22:03:00 09/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.5 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.5 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.4 u1: % rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 168 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.45 u1: /mic l rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.5 rs: Final st: NotStopd
t0: [22:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [22:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 09/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [22:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 09/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [22:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 09/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 09/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [23:00:00 09/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 09/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 09/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 09/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [23:00:00 09/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 09/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 09/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [23:00:00 09/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 1000 vu: ml t0: [22:00:00 09/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [23:00:00 09/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 720 ap: none
t0: [22:03:00 09/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [23:00:00 09/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [23:00:00 09/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 116 t0: [23:00:00 09/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.29584 u1: kg x m st: NotStopd t0: [23:00:00 09/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [23:00:00 09/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.5488 u1: g * m st: NotStopd t0: [23:00:00 09/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [23:00:00 09/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.006 u1: kg * m st: NotStopd t0: [23:00:00 09/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.939252 u1: ... st: NotStopd t0: [23:00:00 09/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.42 u1: g * m st: NotStopd t0: [23:00:00 09/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10 u1: g*m/m2 st: NotStopd t0: [23:00:00 09/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [23:00:00 09/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 759.322 u1: ... st: NotStopd t0: [23:00:00 09/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1623.19 u1: ... st: NotStopd t0: [23:00:00 09/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.766 u1: ml st: NotStopd t0: [23:00:00 09/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
tf: [22:00:00 10/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm
t0: [22:03:00 09/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 32.2 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [22:03:00 09/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 32.2 rs: Final st: NotStopd
t0: [21:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [21:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [23:00:00 09/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 09/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [23:00:00 09/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd
t0: [21:00:00 09/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [23:00:00 09/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [00:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 107 t0: [00:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [00:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [00:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.6064 u1: g * m st: NotStopd t0: [00:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [00:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [00:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [00:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.04 u1: kg * m st: NotStopd t0: [00:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.953271 u1: ... st: NotStopd t0: [00:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.78 u1: g * m st: NotStopd t0: [00:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [00:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [00:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 813.333 u1: ... st: NotStopd t0: [00:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1742.86 u1: ... st: NotStopd t0: [00:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67.4157 u1: ml st: NotStopd t0: [00:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [00:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [23:00:00 09/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [00:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 1000 vu: ml t0: [00:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [20:00:00 09/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 09/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 09/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 09/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 09/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 09/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 09/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 09/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 09/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 09/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 09/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 09/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [20:00:00 09/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 09/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 09/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 09/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 09/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [00:00:00 10/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 10/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 10/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 10/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 10/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 10/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 10/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 10/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 10/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 10/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 10/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 10/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 10/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 10/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 10/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 10/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 10/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 10/11/2010] id: Albumin 5% IV Infusions el: 1 cu: C-SICU cg: -1 ai: 117 vo: 0 st: D/C'd
id: Albumin 5% el: 2 cu: C-SICU cg: RN io: Albumin 5% IV Infusions du: ml rt: Intravenous Push
t0: [00:00:00 10/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 10/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 10/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [00:00:00 10/11/2010] tf: [19:00:00 12/11/2010] dt: 4020 id: Albumin 5% IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 250 vu: ml
t0: [00:00:00 10/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 10/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [00:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 10/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 10/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 10/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 10/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 10/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 10/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 10/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [00:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 10/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 10/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 10/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 10/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 10/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 09/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vu: ml t0: [00:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vu: ml t0: [01:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [15:00:00 09/11/2010] tf: [21:00:00 09/11/2010] dt: 360 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 42 vu: ml t0: [16:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 42 vu: ml t0: [17:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 42 vu: ml t0: [18:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 42 vu: ml t0: [19:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 42 vu: ml t0: [20:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 42 vu: ml
t0: [21:00:00 09/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml st: Stopped t0: [01:00:00 10/11/2010] id: Albumin 5% IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 250 vu: ml
t0: [23:00:00 10/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
t0: [01:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [01:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 119 t0: [01:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.37608 u1: kg x m st: NotStopd t0: [01:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [01:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.5176 u1: g * m st: NotStopd t0: [01:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [01:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [01:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.32696 u1: kg * m st: NotStopd t0: [01:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08879 u1: ... st: NotStopd t0: [01:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.7912 u1: g * m st: NotStopd t0: [01:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.4579 u1: g*m/m2 st: NotStopd t0: [01:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 34.1121 u1: ... st: NotStopd t0: [01:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 759.322 u1: ... st: NotStopd t0: [01:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1623.19 u1: ... st: NotStopd t0: [01:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 72.8395 u1: ml st: NotStopd t0: [01:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [01:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [01:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [01:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [02:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [02:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 113 t0: [02:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.73376 u1: kg x m st: NotStopd t0: [02:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [02:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.4352 u1: g * m st: NotStopd t0: [02:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [02:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [02:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.36096 u1: kg * m st: NotStopd t0: [02:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.1028 u1: ... st: NotStopd t0: [02:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.1792 u1: g * m st: NotStopd t0: [02:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.1776 u1: g*m/m2 st: NotStopd t0: [02:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: ... st: NotStopd t0: [02:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 722.581 u1: ... st: NotStopd t0: [02:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1544.83 u1: ... st: NotStopd t0: [02:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 73.8095 u1: ml st: NotStopd t0: [02:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [02:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [02:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 1000 vu: ml t0: [02:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [23:00:00 10/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 765 cv: 765 ap: none t0: [23:00:00 10/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -510.9 cv: -510.9 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 160 cv: 7367.5 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 94.1 cv: 2258.4 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 254.1 cv: 12150.9 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 140 cv: 2730 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -510.9 cv: 5970.9 ap: carryForward t0: [23:00:00 10/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 765 cv: 6180 ap: carryForward t0: [23:00:00 10/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -510.9 cv: 34595.9 ap: carryForward
t0: [02:40:00 10/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:40:00 10/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [02:40:00 10/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:40:00 10/11/2010] id: Mixed Venous O2 Blood Gases el: 0 cu: C-SICU cg: 3161 v1: 35 rs: Final st: NotStopd
t0: [02:15:00 10/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.2 u1: % rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.7 rs: Final st: NotStopd
t0: [02:40:00 10/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd
t0: [02:15:00 10/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 33.2 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 33.2 rs: Final st: NotStopd
t0: [00:00:00 10/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 10/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 10/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 10/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 10/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 10/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 10/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 10/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:40:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.69159 u1: ... st: NotStopd t0: [02:40:00 10/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: RN v1: 7.91228 u1: L/min st: NotStopd t0: [03:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [03:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 110 t0: [03:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.34672 u1: kg x m st: NotStopd t0: [03:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [03:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 75.48 u1: g * m st: NotStopd t0: [03:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: g*m/m2 st: NotStopd t0: [03:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [03:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.87912 u1: kg * m st: NotStopd t0: [03:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34579 u1: ... st: NotStopd t0: [03:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.58 u1: g * m st: NotStopd t0: [03:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.8318 u1: g*m/m2 st: NotStopd t0: [03:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: ... st: NotStopd t0: [03:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 679.452 u1: ... st: NotStopd t0: [03:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1454.55 u1: ... st: NotStopd t0: [03:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 75.2577 u1: ml st: NotStopd t0: [03:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [03:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [03:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [20:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [22:00:00 09/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 22 st: NotStopd t0: [22:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [03:23:00 10/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [03:23:00 10/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [22:00:00 09/11/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#3 D/C Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 09/11/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 09/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [23:00:00 09/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 09/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 09/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN st: NotStopd t0: [23:00:00 09/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:15:00 10/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [02:15:00 10/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 11 rs: Final st: NotStopd
t0: [02:15:00 10/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.9 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: RN v1: 1.9 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [03:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [04:00:00 10/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [04:00:00 10/11/2010] tf: [18:00:00 10/11/2010] dt: 840 id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 30 vu: ml t0: [04:00:00 10/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 350 vu: ml t0: [04:00:00 10/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [04:00:00 10/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml t0: [04:00:00 10/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 220 vu: ml
t0: [04:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.45794 u1: ... st: NotStopd t0: [04:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [04:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 135 t0: [04:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.74928 u1: kg x m st: NotStopd t0: [04:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.59813 u1: ... st: NotStopd t0: [04:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 83.776 u1: g * m st: NotStopd t0: [04:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 39.2523 u1: g*m/m2 st: NotStopd t0: [04:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [04:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [04:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [04:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.11984 u1: kg * m st: NotStopd t0: [04:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.45794 u1: ... st: NotStopd t0: [04:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 33.728 u1: g * m st: NotStopd t0: [04:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 15.7477 u1: g*m/m2 st: NotStopd t0: [04:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 37.3832 u1: ... st: NotStopd t0: [04:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 702.703 u1: ... st: NotStopd t0: [04:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1502.89 u1: ... st: NotStopd t0: [04:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 79.5699 u1: ml st: NotStopd t0: [04:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [04:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [04:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.4 u1: L/min st: NotStopd
t0: [00:00:00 10/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 10/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 10/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 10/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 10/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 10/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 10/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 10/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 10/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 10/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 10/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 10/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 10/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 10/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 10/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 10/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 10/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 10/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 10/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 10/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 10/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 10/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 10/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 10/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: None v2: Intact st: NotStopd t0: [04:00:00 10/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 10/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 10/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 10/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 10/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 10/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 10/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 10/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 10/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 10/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 10/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 10/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 10/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 10/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 10/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 10/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 10/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 10/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 10/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 10/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 10/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 10/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 10/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 10/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 10/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [03:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd
t0: [05:00:00 10/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [04:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [05:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [05:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 124 t0: [05:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.2224 u1: kg x m st: NotStopd t0: [05:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [05:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.2 u1: g * m st: NotStopd t0: [05:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [05:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [05:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.26304 u1: kg * m st: NotStopd t0: [05:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.05607 u1: ... st: NotStopd t0: [05:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.52 u1: g * m st: NotStopd t0: [05:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.3832 u1: g*m/m2 st: NotStopd t0: [05:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: ... st: NotStopd t0: [05:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 612.5 u1: ... st: NotStopd t0: [05:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1311.04 u1: ... st: NotStopd t0: [05:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 75.2941 u1: ml st: NotStopd t0: [05:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [05:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [05:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [05:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd
t0: [05:00:00 10/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [05:00:00 10/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [05:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 10/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 10/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 10/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 10/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 10/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [05:00:00 10/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 10/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16 u1: L/min st: NotStopd t0: [05:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 10/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 10/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:00:00 10/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:00:00 10/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 10/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [06:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [06:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 137 t0: [06:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.5488 u1: kg x m st: NotStopd t0: [06:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [06:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.28 u1: g * m st: NotStopd t0: [06:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [06:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [06:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.312 u1: kg * m st: NotStopd t0: [06:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07944 u1: ... st: NotStopd t0: [06:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.2 u1: g * m st: NotStopd t0: [06:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.7103 u1: g*m/m2 st: NotStopd t0: [06:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 37.3832 u1: ... st: NotStopd t0: [06:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 611.765 u1: ... st: NotStopd t0: [06:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1308.18 u1: ... st: NotStopd t0: [06:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 80 u1: ml st: NotStopd t0: [06:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [06:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [06:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [06:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [06:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [06:00:00 10/11/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV Line#3 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 10/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [23:00:00 09/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN rs: Manual st: NotStopd t0: [05:00:00 10/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN rs: Manual st: NotStopd
t0: [06:00:00 10/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: Isch/Arrhythmia st: NotStopd
t0: [07:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [07:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 113 t0: [07:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.4736 u1: kg x m st: NotStopd t0: [07:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [07:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 76.16 u1: g * m st: NotStopd t0: [07:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: g*m/m2 st: NotStopd t0: [07:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [07:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 10/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 100.5 u1: kg st: NotStopd t0: [07:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.58944 u1: kg * m st: NotStopd t0: [07:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.21028 u1: ... st: NotStopd t0: [07:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.464 u1: g * m st: NotStopd t0: [07:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.2523 u1: g*m/m2 st: NotStopd t0: [07:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 37.3832 u1: ... st: NotStopd t0: [07:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 682.353 u1: ... st: NotStopd t0: [07:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1459.12 u1: ... st: NotStopd t0: [07:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 80 u1: ml st: NotStopd t0: [07:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [07:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [07:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [07:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [07:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 1000 vu: ml t0: [07:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [02:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [04:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd
t0: [04:00:00 10/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 10/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [04:00:00 10/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Unable to Wedge st: NotStopd
t0: [08:00:00 10/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 10/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [08:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 10/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 10/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 10/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 10/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 10/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 10/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 10/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [08:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 10/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 10/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 10/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 10/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 651 u1: ml/B st: NotStopd t0: [08:00:00 10/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 10/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 10/11/2010] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: -1 ai: 110 vo: 0 st: D/C'd t0: [08:00:00 10/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 111 vo: 0 st: D/C'd
t0: [08:00:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [08:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 10/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 10/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 10/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 10/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 10/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 10/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 10/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 10/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 10/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 10/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 10/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 10/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 10/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Unable to Wedge st: NotStopd t0: [08:00:00 10/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 10/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 10/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 10/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: None v2: Intact st: NotStopd t0: [08:00:00 10/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 10/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.9228 u1: kg x m st: NotStopd t0: [08:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [08:00:00 10/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 70.72 u1: g * m st: NotStopd t0: [08:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [08:00:00 10/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 10/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 10/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 10/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 10/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 10/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.278 u1: kg * m st: NotStopd t0: [08:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06542 u1: ... st: NotStopd t0: [08:00:00 10/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.2 u1: g * m st: NotStopd t0: [08:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.7103 u1: g*m/m2 st: NotStopd t0: [08:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 10/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 10/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 37.3832 u1: ... st: NotStopd t0: [08:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 620.896 u1: ... st: NotStopd t0: [08:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1329.07 u1: ... st: NotStopd t0: [08:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [08:00:00 10/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 10/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 79.7619 u1: ml st: NotStopd t0: [08:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [08:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [08:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [08:00:00 10/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 10/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 10/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 10/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 10/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 10/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 10/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 10/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [08:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 1000 vu: ml t0: [08:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [08:00:00 10/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 50 vu: ml t0: [08:00:00 10/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 25 vu: ml
t0: [08:00:00 10/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 118 rs: Manual st: NotStopd t0: [08:30:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:30:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd
t0: [08:00:00 10/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 120 t0: [08:00:00 10/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 10/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 10/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd
t0: [09:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.36449 u1: ... st: NotStopd t0: [09:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [09:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 131 t0: [09:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.8544 u1: kg x m st: NotStopd t0: [09:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [09:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 80.92 u1: g * m st: NotStopd t0: [09:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 37.8505 u1: g*m/m2 st: NotStopd t0: [09:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.74176 u1: kg * m st: NotStopd t0: [09:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.28037 u1: ... st: NotStopd t0: [09:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 32.368 u1: g * m st: NotStopd t0: [09:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 15.1402 u1: g*m/m2 st: NotStopd t0: [09:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 39.7196 u1: ... st: NotStopd t0: [09:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 622.222 u1: ... st: NotStopd t0: [09:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1333.33 u1: ... st: NotStopd t0: [09:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 84.7059 u1: ml st: NotStopd t0: [09:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [09:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [09:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [10:00:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [10:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [10:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 133 t0: [10:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.19616 u1: kg x m st: NotStopd t0: [10:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [10:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.2512 u1: g * m st: NotStopd t0: [10:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [10:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [10:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 10/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.49696 u1: kg * m st: NotStopd t0: [10:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.16822 u1: ... st: NotStopd t0: [10:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.9072 u1: g * m st: NotStopd t0: [10:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.0374 u1: g*m/m2 st: NotStopd t0: [10:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: ... st: NotStopd t0: [10:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 635.294 u1: ... st: NotStopd t0: [10:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1358.49 u1: ... st: NotStopd t0: [10:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 76.4045 u1: ml st: NotStopd t0: [10:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [10:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [10:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [10:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [10:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
pt: TPN
t0: [10:30:00 10/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [10:30:00 10/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:30:00 10/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [10:30:00 10/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:30:00 10/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:30:00 10/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [10:30:00 10/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:30:00 10/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:30:00 10/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:30:00 10/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:30:00 10/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:30:00 10/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [11:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 126 t0: [11:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.0112 u1: kg x m st: NotStopd t0: [11:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [11:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.184 u1: g * m st: NotStopd t0: [11:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [11:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.49696 u1: kg * m st: NotStopd t0: [11:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.16822 u1: ... st: NotStopd t0: [11:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.9072 u1: g * m st: NotStopd t0: [11:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.0374 u1: g*m/m2 st: NotStopd t0: [11:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: ... st: NotStopd t0: [11:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 611.765 u1: ... st: NotStopd t0: [11:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1308.18 u1: ... st: NotStopd t0: [11:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [11:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 75.5556 u1: ml st: NotStopd t0: [11:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [11:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [11:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [11:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [11:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [10:00:00 10/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 12 rs: Final st: NotStopd
id: Gastric Meds el: 1 cu: C-SICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Packed RBC's el: 2 cu: C-SICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [12:00:00 10/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 10/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [12:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 10/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 10/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 10/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 10/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 10/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 10/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 10/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 10/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 10/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.2 u1: L/min st: NotStopd t0: [12:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 10/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 10/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 10/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [12:00:00 10/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 10/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 715 u1: ml/B st: NotStopd t0: [12:00:00 10/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 10/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [02:15:00 10/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Direct Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.7 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 65 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 367 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Direct Bili (0-0.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.7 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [02:15:00 10/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 rs: Final st: NotStopd
t0: [08:00:00 10/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [08:00:00 10/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [12:00:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [12:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 10/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 10/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 10/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 10/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 10/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 10/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 10/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 10/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 10/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 10/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 10/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [12:00:00 10/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [12:00:00 10/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 94 t0: [12:00:00 10/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 10/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.746 u1: kg x m st: NotStopd t0: [12:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [12:00:00 10/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 10/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 10/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.952 u1: g * m st: NotStopd t0: [12:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [12:00:00 10/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 10/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 10/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 10/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 10/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 10/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 10/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 10/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.2984 u1: kg * m st: NotStopd t0: [12:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07477 u1: ... st: NotStopd t0: [12:00:00 10/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 10/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.5808 u1: g * m st: NotStopd t0: [12:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8972 u1: g*m/m2 st: NotStopd t0: [12:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 10/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 10/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 36.4486 u1: ... st: NotStopd t0: [12:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 640 u1: ... st: NotStopd t0: [12:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1368.42 u1: ... st: NotStopd t0: [12:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 10/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 78.3133 u1: ml st: NotStopd t0: [12:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [12:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 10/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 10/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [12:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [12:00:00 10/11/2010] tf: [18:00:00 13/11/2010] dt: 4680 id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 0 vu: ml nb: 1 t0: [11:00:00 10/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [12:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [12:00:00 10/11/2010] tf: [21:17:00 07/12/2010] dt: 39437 id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 900 vu: ml t0: [12:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [12:00:00 10/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 375 vu: ml t0: [12:00:00 10/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [23:00:00 10/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 900 ap: none
t0: [12:37:00 10/11/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [13:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [13:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [13:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 93 t0: [13:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.73376 u1: kg x m st: NotStopd t0: [13:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [13:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.7696 u1: g * m st: NotStopd t0: [13:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [13:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40448 u1: kg * m st: NotStopd t0: [13:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.1215 u1: ... st: NotStopd t0: [13:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.5808 u1: g * m st: NotStopd t0: [13:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8972 u1: g*m/m2 st: NotStopd t0: [13:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 36.4486 u1: ... st: NotStopd t0: [13:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 588.235 u1: ... st: NotStopd t0: [13:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1257.86 u1: ... st: NotStopd t0: [13:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 78.1609 u1: ml st: NotStopd t0: [13:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [13:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [13:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [13:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [13:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [13:00:00 10/11/2010] tf: [19:00:00 12/11/2010] dt: 3240 id: Packed RBC's IV Infusions el: 2 cu: C-SICU cg: RN ai: -1 vo: 375 vu: ml t0: [13:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [13:15:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:15:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:15:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:15:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:15:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:15:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:15:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:15:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [13:15:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [13:15:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [13:15:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:45:00 10/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: CT scan st: NotStopd t0: [15:30:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:30:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [15:30:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [15:30:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Runs Vtach st: NotStopd t0: [15:30:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:30:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [15:30:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 129 t0: [15:30:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.10272 u1: kg x m st: NotStopd t0: [15:30:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [15:30:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.4944 u1: g * m st: NotStopd t0: [15:30:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [15:30:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [15:30:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [15:30:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:30:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:30:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:30:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.2848 u1: kg * m st: NotStopd t0: [15:30:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06542 u1: ... st: NotStopd t0: [15:30:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.296 u1: g * m st: NotStopd t0: [15:30:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.8224 u1: g*m/m2 st: NotStopd t0: [15:30:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:30:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [15:30:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 728.571 u1: ... st: NotStopd t0: [15:30:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1557.25 u1: ... st: NotStopd t0: [15:30:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:30:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.5385 u1: ml st: NotStopd t0: [15:30:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [15:30:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 250 vu: ml t0: [15:30:00 10/11/2010] tf: [16:00:00 10/11/2010] dt: 30 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 250 vu: ml t0: [15:30:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 235.25 vu: ml t0: [15:30:00 10/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml t0: [15:30:00 10/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 75 vu: ml
t0: [15:41:00 10/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [15:41:00 10/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
tf: [03:00:00 11/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Heparin v1: 2000 u1: UNIT tf: [16:00:00 12/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [16:00:00 10/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 10/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [16:00:00 10/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 10/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 10/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 10/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 10/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 10/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 10/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 10/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 10/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 22.8 u1: L/min st: NotStopd t0: [16:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 10/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 10/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 10/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 38 u1: BPM st: NotStopd t0: [16:00:00 10/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [16:00:00 10/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 387 u1: ml/B st: NotStopd t0: [16:00:00 10/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 10/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [15:45:00 10/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.6 u1: % rs: Final st: NotStopd t0: [15:45:00 10/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd
t0: [16:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [16:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:41:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [15:41:00 10/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 62 rs: Manual st: NotStopd t0: [15:41:00 10/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: RN v1: 5.87311 u1: L/min st: NotStopd
t0: [16:15:00 10/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml nb: 1
t0: [16:15:00 10/11/2010] tf: [09:00:00 13/11/2010] dt: 3885 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:27:00 10/11/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [16:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd
t0: [16:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 10/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 10/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 10/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 10/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 10/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 10/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 10/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 10/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 10/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [17:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 10/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [17:00:00 10/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 10/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [17:00:00 10/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 10/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 10/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 10/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 10/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 10/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [17:00:00 10/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 10/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 10/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 10/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [17:00:00 10/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 10/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [17:00:00 10/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 93 t0: [17:00:00 10/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 10/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.12 u1: kg x m st: NotStopd t0: [17:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [17:00:00 10/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 70.38 u1: g * m st: NotStopd t0: [17:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: g*m/m2 st: NotStopd t0: [17:00:00 10/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [17:00:00 10/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 10/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 10/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 53.3333 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 114.286 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [17:00:00 10/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 10/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 10/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 10/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.2848 u1: kg * m st: NotStopd t0: [17:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06542 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [17:00:00 10/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.2752 u1: g * m st: NotStopd t0: [17:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.2897 u1: g*m/m2 st: NotStopd t0: [17:00:00 10/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 10/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 760 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1628.57 u1: ... st: NotStopd t0: [17:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 10/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.9655 u1: ml st: NotStopd t0: [17:00:00 10/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [17:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [17:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [17:00:00 10/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [17:00:00 10/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 10/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [17:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [17:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 150 vu: ml t0: [17:00:00 10/11/2010] tf: [16:00:00 12/11/2010] dt: 2820 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7.5 vu: ml t0: [17:00:00 10/11/2010] id: Packed RBC's IV Infusions el: 2 cu: C-SICU cg: RN ai: -1 vo: 375 vu: ml t0: [17:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 141.15 vu: ml
t0: [17:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [18:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [18:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [18:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN u1: L/min st: NotStopd
t0: [16:00:00 10/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml st: Stopped t0: [17:00:00 10/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml t0: [18:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [18:00:00 10/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [18:00:00 10/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [18:00:00 10/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 150 vu: ml t0: [18:00:00 10/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [18:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:43:00 10/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [18:43:00 10/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [18:43:00 10/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [18:43:00 10/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [18:43:00 10/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [18:43:00 10/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [19:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [19:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [19:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [19:00:00 10/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [19:00:00 10/11/2010] id: Packed RBC's IV Infusions el: 2 cu: C-SICU cg: RN ai: -1 vo: 375 vu: ml t0: [19:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [23:00:00 10/11/2010] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 1125 ap: none
t0: [20:00:00 10/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 10/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [20:00:00 10/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 10/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 10/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 10/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 10/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 10/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:00:00 10/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 10/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.6 u1: L/min st: NotStopd t0: [20:00:00 10/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 10/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 10/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 10/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 10/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 10/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 10/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 662 u1: ml/B st: NotStopd t0: [20:00:00 10/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 10/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 10/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 10/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 10/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 10/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 10/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 10/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 10/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 10/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 10/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 10/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 10/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 10/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 10/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 10/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 10/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 10/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 10/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 10/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 10/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 10/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 10/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 10/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 10/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 10/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 10/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 10/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 10/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 10/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 10/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 10/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 10/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 10/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 10/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 10/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 10/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [20:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 10/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 10/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 10/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 10/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 10/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 10/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 10/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 10/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 10/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [20:00:00 10/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [20:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [20:00:00 10/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Positive st: NotStopd
t0: [20:00:00 10/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [23:00:00 10/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [20:00:00 10/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [21:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [21:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [21:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 10/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [21:30:00 10/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:30:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:30:00 10/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [21:30:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd
t0: [21:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [22:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [22:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [22:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN u1: L/min st: NotStopd
t0: [22:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [22:00:00 10/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 188.2 vu: ml
t0: [22:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:38:00 10/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [21:38:00 10/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.99 rs: Final st: NotStopd t0: [21:38:00 10/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd
t0: [22:00:00 10/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 10/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 10/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 10/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [22:00:00 10/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 10/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 10/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 10/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 10/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 10/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 10/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd
t0: [21:50:00 10/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 34.8 u1: % rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.7 u1: gm/dl rs: Final st: NotStopd
t0: [22:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [22:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 969.231 u1: ... st: NotStopd t0: [22:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2074.07 u1: ... st: NotStopd t0: [22:00:00 10/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 65 rs: Manual st: NotStopd t0: [22:00:00 10/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: RN v1: 5.17034 u1: L/min st: NotStopd
t0: [22:30:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:30:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:30:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:30:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:30:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:30:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:30:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [22:30:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [22:30:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:30:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:30:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:30:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:30:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:30:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [20:00:00 10/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd
t0: [21:50:00 10/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 53.2 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 53.2 rs: Final st: NotStopd
t0: [21:50:00 10/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [21:50:00 10/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [23:00:00 10/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 10/11/2010] id: Peak Flow el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [23:00:00 10/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 10/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 10/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 10/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 10/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 126 t0: [23:00:00 10/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.02576 u1: kg x m st: NotStopd t0: [23:00:00 10/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.27103 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 86.9856 u1: g * m st: NotStopd t0: [23:00:00 10/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 40.6542 u1: g*m/m2 st: NotStopd t0: [23:00:00 10/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 88.8889 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 190.476 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 10/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.48472 u1: kg * m st: NotStopd t0: [23:00:00 10/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.15888 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.7632 u1: g * m st: NotStopd t0: [23:00:00 10/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.3925 u1: g*m/m2 st: NotStopd t0: [23:00:00 10/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 10/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 36.4486 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 850.794 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1823.13 u1: ... st: NotStopd t0: [23:00:00 10/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 10/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 77.7778 u1: ml st: NotStopd t0: [23:00:00 10/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [23:00:00 10/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 10/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [23:00:00 10/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [23:00:00 10/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [23:00:00 10/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 10/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 10/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [23:00:00 10/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [23:00:00 10/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [23:00:00 10/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 50 vu: ml t0: [23:00:00 10/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 325 vu: ml t0: [23:00:00 10/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [23:00:00 10/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [23:00:00 10/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN pv: 0 cv: 30 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 600 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN pv: 50 cv: 525 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 200 cv: 595 ap: none t0: [23:00:00 10/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN pv: 325 cv: 1700 ap: none
t0: [23:00:00 10/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [00:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [00:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 608 u1: ml/B st: NotStopd t0: [00:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [00:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 125 t0: [00:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.2896 u1: kg x m st: NotStopd t0: [00:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [00:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 84.864 u1: g * m st: NotStopd t0: [00:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 39.7196 u1: g*m/m2 st: NotStopd t0: [00:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.55136 u1: kg * m st: NotStopd t0: [00:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.19159 u1: ... st: NotStopd t0: [00:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.7024 u1: g * m st: NotStopd t0: [00:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.8785 u1: g*m/m2 st: NotStopd t0: [00:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 36.4486 u1: ... st: NotStopd t0: [00:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 776.119 u1: ... st: NotStopd t0: [00:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1661.34 u1: ... st: NotStopd t0: [00:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 77.907 u1: ml st: NotStopd t0: [00:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [00:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [00:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [00:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [00:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [22:00:00 10/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [00:00:00 11/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 11/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 11/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 11/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 11/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 11/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 11/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [01:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 127 t0: [01:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.91424 u1: kg x m st: NotStopd t0: [01:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [01:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.488 u1: g * m st: NotStopd t0: [01:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [01:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.27664 u1: kg * m st: NotStopd t0: [01:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06542 u1: ... st: NotStopd t0: [01:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.868 u1: g * m st: NotStopd t0: [01:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.1682 u1: g*m/m2 st: NotStopd t0: [01:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [01:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 903.226 u1: ... st: NotStopd t0: [01:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1931.03 u1: ... st: NotStopd t0: [01:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.2632 u1: ml st: NotStopd t0: [01:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [01:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [01:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [01:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [01:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [01:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [01:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 11/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 11/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 11/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 11/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 11/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 11/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 11/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 11/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 11/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 11/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [00:00:00 11/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 11/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 11/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 11/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 11/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 11/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 11/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 11/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 11/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 11/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [00:00:00 11/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Positive st: NotStopd t0: [00:00:00 11/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 11/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 11/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [01:00:00 11/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 11/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [01:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 11/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 11/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [01:00:00 11/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 11/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [02:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 141 t0: [02:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.47088 u1: kg x m st: NotStopd t0: [02:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [02:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 73.1952 u1: g * m st: NotStopd t0: [02:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.1121 u1: g*m/m2 st: NotStopd t0: [02:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.15696 u1: kg * m st: NotStopd t0: [02:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [02:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.3984 u1: g * m st: NotStopd t0: [02:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4019 u1: g*m/m2 st: NotStopd t0: [02:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [02:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 839.344 u1: ... st: NotStopd t0: [02:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1796.49 u1: ... st: NotStopd t0: [02:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.5393 u1: ml st: NotStopd t0: [02:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [02:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [02:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [02:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [01:00:00 11/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [02:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [02:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [03:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 125 t0: [03:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.38792 u1: kg x m st: NotStopd t0: [03:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [03:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 79.5872 u1: g * m st: NotStopd t0: [03:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 37.3832 u1: g*m/m2 st: NotStopd t0: [03:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.15696 u1: kg * m st: NotStopd t0: [03:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [03:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.8736 u1: g * m st: NotStopd t0: [03:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.5701 u1: g*m/m2 st: NotStopd t0: [03:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: ... st: NotStopd t0: [03:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 839.344 u1: ... st: NotStopd t0: [03:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1796.49 u1: ... st: NotStopd t0: [03:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 76.25 u1: ml st: NotStopd t0: [03:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [03:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [03:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [03:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [03:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 11/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 53.8462 u1: units st: NotStopd t0: [03:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [03:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [03:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [03:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [03:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [03:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [03:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [03:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [03:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.4 u1: L/min st: NotStopd t0: [03:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [03:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [03:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [03:00:00 11/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 53.8462 u1: units st: NotStopd t0: [03:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [03:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 11/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [03:00:00 11/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.52 u1: L st: NotStopd t0: [03:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 615 u1: ml/B st: NotStopd t0: [03:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [12:00:00 12/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Heparin v1: 2000 u1: UNIT tf: [16:00:00 12/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [04:18:00 11/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [04:18:00 11/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:18:00 11/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:18:00 11/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 11/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 11/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd
t0: [04:18:00 11/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:18:00 11/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [04:00:00 11/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.1 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.1 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 37.5 u1: % rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 165 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 4.13 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.1 rs: Final st: NotStopd
t0: [04:00:00 11/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 53.7 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 53.7 rs: Final st: NotStopd
t0: [04:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 11/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 11/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 11/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 11/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [05:00:00 11/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [05:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [05:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [05:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [05:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 123 t0: [05:00:00 11/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [05:00:00 11/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 11/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 11/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [05:00:00 11/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [05:00:00 11/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.38792 u1: kg x m st: NotStopd t0: [05:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [05:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.2568 u1: g * m st: NotStopd t0: [05:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: g*m/m2 st: NotStopd t0: [05:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.074 u1: kg * m st: NotStopd t0: [05:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.96729 u1: ... st: NotStopd t0: [05:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.46 u1: g * m st: NotStopd t0: [05:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.9813 u1: g*m/m2 st: NotStopd t0: [05:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [05:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [05:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 852.459 u1: ... st: NotStopd t0: [05:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1824.56 u1: ... st: NotStopd t0: [05:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 11/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.5393 u1: ml st: NotStopd t0: [05:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [05:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [05:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [05:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [05:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [05:00:00 11/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [05:00:00 11/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 11/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [05:00:00 11/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [05:00:00 11/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [05:00:00 11/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [04:00:00 11/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 11/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 11/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 11/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 11/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 11/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 11/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 11/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 11/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 11/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 11/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [05:00:00 11/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [05:00:00 11/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [05:00:00 11/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [05:00:00 11/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 11/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 11/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [05:00:00 11/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [05:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [05:00:00 11/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 11/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 11/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 11/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 11/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 11/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Diff to Palpate st: NotStopd t0: [05:00:00 11/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [05:00:00 11/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [05:00:00 11/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [05:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 11/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [05:00:00 11/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 11/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [05:00:00 11/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [05:00:00 11/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [05:00:00 11/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 11/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 11/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [06:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [06:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 11/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 117 t0: [06:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.11144 u1: kg x m st: NotStopd t0: [06:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [06:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 79.016 u1: g * m st: NotStopd t0: [06:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 36.9159 u1: g*m/m2 st: NotStopd t0: [06:00:00 11/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.05632 u1: kg * m st: NotStopd t0: [06:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.962617 u1: ... st: NotStopd t0: [06:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [06:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [06:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [06:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 926.984 u1: ... st: NotStopd t0: [06:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1986.39 u1: ... st: NotStopd t0: [06:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 70 u1: ml st: NotStopd t0: [06:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [06:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [06:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [06:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 11/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [06:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 300 vu: ml t0: [06:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 34 vu: ml t0: [06:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 282.3 vu: ml t0: [06:00:00 11/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [06:00:00 11/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml t0: [06:00:00 11/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [06:00:00 11/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml t0: [06:00:00 11/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [06:00:00 11/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 50 vu: ml
t0: [06:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 100 ap: none
t0: [06:00:00 11/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [06:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [06:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [06:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [06:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [06:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [06:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [06:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [06:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [06:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [06:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [06:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [06:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [06:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 603 u1: ml/B st: NotStopd t0: [06:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [06:29:00 11/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [06:29:00 11/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [06:29:00 11/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [06:29:00 11/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [06:29:00 11/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [06:29:00 11/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [06:29:00 11/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.97 rs: Final st: NotStopd
t0: [07:44:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd
t0: [08:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [08:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16.6 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16 u1: L/min st: NotStopd t0: [08:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 679 u1: ml/B st: NotStopd t0: [08:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 11/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 11/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 11/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 11/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 11/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 11/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 11/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 11/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 11/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 11/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 11/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 11/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 11/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 98 t0: [08:00:00 11/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.47808 u1: kg x m st: NotStopd t0: [08:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 62.016 u1: g * m st: NotStopd t0: [08:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: g*m/m2 st: NotStopd t0: [08:00:00 11/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 196.226 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 419.355 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 11/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 11/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 11/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 11/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.94616 u1: kg * m st: NotStopd t0: [08:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.911215 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [08:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.032 u1: g * m st: NotStopd t0: [08:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.2804 u1: g*m/m2 st: NotStopd t0: [08:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 11/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 950.943 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2032.26 u1: ... st: NotStopd t0: [08:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.2273 u1: ml st: NotStopd t0: [08:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [08:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [08:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [08:00:00 11/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 11/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [08:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [08:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [08:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 188.2 vu: ml
t0: [08:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:06:00 11/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [09:06:00 11/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [09:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 11/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [10:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 11/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 11/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 11/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [09:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [09:00:00 11/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [09:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml nb: 1 t0: [09:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml t0: [10:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [10:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [10:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [09:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN
t0: [17:10:00 09/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [09:38:00 11/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 36.3 u1: % rs: Final st: NotStopd
t0: [10:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:38:00 11/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 65.4 rs: Final st: NotStopd t0: [09:38:00 11/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 65.4 rs: Final st: NotStopd
t0: [11:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [11:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [11:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [11:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [11:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [12:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.7 u1: L/min st: NotStopd t0: [12:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 607 u1: ml/B st: NotStopd t0: [12:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [12:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 108 t0: [12:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.57696 u1: kg x m st: NotStopd t0: [12:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [12:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.952 u1: g * m st: NotStopd t0: [12:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [12:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.19232 u1: kg * m st: NotStopd t0: [12:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.02336 u1: ... st: NotStopd t0: [12:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.984 u1: g * m st: NotStopd t0: [12:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.7477 u1: g*m/m2 st: NotStopd t0: [12:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [12:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 851.613 u1: ... st: NotStopd t0: [12:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1820.69 u1: ... st: NotStopd t0: [12:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.2632 u1: ml st: NotStopd t0: [12:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [12:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [12:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [12:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [12:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [12:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [12:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 94.1 vu: ml
t0: [12:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 107 rs: Manual st: NotStopd
t0: [12:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 11/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 11/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 11/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 11/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 11/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 11/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 11/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 11/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 11/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 11/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 11/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 11/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 11/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 11/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 11/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:00:00 11/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [13:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [13:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 11/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 11/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 11/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 11/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [14:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [14:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 188.2 vu: ml
t0: [13:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 11/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 11/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [16:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 11/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 11/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 11/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 11/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 11/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 11/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 11/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 11/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 11/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [16:00:00 11/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [16:00:00 11/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 11/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 115 t0: [16:00:00 11/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 11/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.51616 u1: kg x m st: NotStopd t0: [16:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [16:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.2832 u1: g * m st: NotStopd t0: [16:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [16:00:00 11/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 11/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 11/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 11/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 11/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 11/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.62656 u1: kg * m st: NotStopd t0: [16:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.761682 u1: ... st: NotStopd t0: [16:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 16.8912 u1: g * m st: NotStopd t0: [16:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.8972 u1: g*m/m2 st: NotStopd t0: [16:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 11/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [16:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1061.54 u1: ... st: NotStopd t0: [16:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2271.6 u1: ... st: NotStopd t0: [16:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 11/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 11/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Loose st: NotStopd t0: [16:00:00 11/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.1667 u1: ml st: NotStopd t0: [16:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [16:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [16:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [16:00:00 11/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 11/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 11/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 11/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 11/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 11/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 11/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 11/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [16:00:00 11/11/2010] tf: [21:00:00 11/11/2010] dt: 300 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [15:00:00 11/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [16:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [16:00:00 11/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [16:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 188.2 vu: ml t0: [16:00:00 11/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 450 vu: ml t0: [16:00:00 11/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [16:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:13:00 11/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [16:13:00 11/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.27 rs: Final st: NotStopd t0: [16:13:00 11/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [16:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 25 t0: [16:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [16:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [16:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [15:54:00 11/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 37.2 u1: % rs: Final st: NotStopd
t0: [15:54:00 11/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 66.3 rs: Final st: NotStopd t0: [15:54:00 11/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 66.3 rs: Final st: NotStopd
t0: [16:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [17:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [17:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [18:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [18:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [18:00:00 11/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Poor st: NotStopd t0: [18:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [18:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [18:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 156 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 11/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [18:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [18:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 11/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 60 u1: % st: NotStopd t0: [18:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 11/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [18:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [18:00:00 11/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [18:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 188.2 vu: ml nb: 1 t0: [18:00:00 11/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [17:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [18:39:00 11/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [18:39:00 11/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 156 rs: Final st: NotStopd
t0: [19:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [19:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:28:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: 4312 v1: 23cm v2: Teeth st: NotStopd t0: [20:28:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: 4312 v1: 22 t0: [20:28:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: 4312 v1: 0.5 u1: torr st: NotStopd t0: [20:28:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: 4312 v1: 35 u1: cmH2O st: NotStopd t0: [20:28:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: 4312 v1: 40 u1: BPM st: NotStopd t0: [20:28:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: 4312 v1: 7.5 mm st: NotStopd t0: [20:28:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: 4312 v1: Endotracheal st: NotStopd t0: [20:28:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: 4312 v1: 34.6 u1: Deg. C st: NotStopd t0: [20:28:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: 4312 v1: 9 v2: 19 st: NotStopd t0: [20:28:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: 4312 v1: 5 st: NotStopd t0: [20:28:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: 4312 v1: 11 u1: cmH2O st: NotStopd t0: [20:28:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: 4312 v1: 16.2 u1: L/min st: NotStopd t0: [20:28:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: 4312 v1: 8 u1: cmH2O st: NotStopd t0: [20:28:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: 4312 v1: 20 st: NotStopd t0: [20:28:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: 4312 v1: 8 u1: . st: NotStopd t0: [20:28:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: 4312 v1: 27 u1: BPM st: NotStopd t0: [20:28:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: 4312 v1: 2 u1: cmH2O st: NotStopd t0: [20:28:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: 4312 v1: 97 u1: % st: NotStopd t0: [20:28:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: 4312 v1: 614 u1: ml/B st: NotStopd t0: [20:28:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: 4312 v1: CPAP+PS st: NotStopd t0: [20:28:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: 4312 v1: Drager st: NotStopd
t0: [20:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: 4312 v1: 7 u1: cmH2O st: NotStopd
t0: [21:00:00 11/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [20:00:00 11/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 11/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 11/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 11/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 11/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 11/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 11/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 11/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 11/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 11/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 11/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 11/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 11/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 11/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 11/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 11/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 11/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 11/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 11/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.3648 u1: kg x m st: NotStopd t0: [20:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 11/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.0736 u1: g * m st: NotStopd t0: [20:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [20:00:00 11/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 11/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 11/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 200 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 428.571 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 11/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 11/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 11/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 11/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [20:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.10748 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 11/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.4248 u1: g * m st: NotStopd t0: [20:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.3364 u1: g*m/m2 st: NotStopd t0: [20:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 11/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 11/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 840 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1800 u1: ... st: NotStopd t0: [20:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 11/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Loose st: NotStopd t0: [20:00:00 11/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.6667 u1: ml st: NotStopd t0: [20:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [20:00:00 11/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 11/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 11/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 11/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 11/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 11/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 11/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 11/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 11/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 11/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd t0: [21:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [21:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 11/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 11/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [21:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.2832 u1: kg x m st: NotStopd t0: [21:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [21:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.8792 u1: g * m st: NotStopd t0: [21:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [21:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [21:00:00 11/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [21:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 11/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.2848 u1: kg * m st: NotStopd t0: [21:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.06542 u1: ... st: NotStopd t0: [21:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.2288 u1: g * m st: NotStopd t0: [21:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8411 u1: g*m/m2 st: NotStopd t0: [21:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [21:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 853.333 u1: ... st: NotStopd t0: [21:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1828.57 u1: ... st: NotStopd t0: [21:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.2245 u1: ml st: NotStopd t0: [21:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [21:00:00 11/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 11/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [20:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [20:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [20:00:00 11/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [20:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 190.6 vu: ml t0: [20:00:00 11/11/2010] id: Drain Out #1 Jackson Pratt el: 1 cu: C-SICU cg: RN vu: ml t0: [21:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [21:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [21:00:00 11/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 41.7 vu: ml st: Stopped t0: [21:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [20:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [22:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.13456 u1: kg x m st: NotStopd t0: [22:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [22:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 77.1936 u1: g * m st: NotStopd t0: [22:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.9813 u1: g*m/m2 st: NotStopd t0: [22:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [22:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40584 u1: kg * m st: NotStopd t0: [22:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.12617 u1: ... st: NotStopd t0: [22:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.0304 u1: g * m st: NotStopd t0: [22:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1495 u1: g*m/m2 st: NotStopd t0: [22:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [22:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 944.262 u1: ... st: NotStopd t0: [22:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2021.05 u1: ... st: NotStopd t0: [22:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.3043 u1: ml st: NotStopd t0: [22:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [22:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [21:00:00 11/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vu: ml t0: [22:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [22:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [22:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:56:00 11/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [21:56:00 11/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [21:56:00 11/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 69.2 rs: Final st: NotStopd t0: [21:56:00 11/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [21:56:00 11/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [21:56:00 11/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 69.2 rs: Final st: NotStopd
t0: [22:00:00 11/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 11/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 11/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 11/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 11/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [23:00:00 11/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 11/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 11/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [23:00:00 11/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 11/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.02576 u1: kg x m st: NotStopd t0: [23:00:00 11/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.27103 u1: ... st: NotStopd t0: [23:00:00 11/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 62.4512 u1: g * m st: NotStopd t0: [23:00:00 11/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: g*m/m2 st: NotStopd t0: [23:00:00 11/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [23:00:00 11/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 11/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 11/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.31336 u1: kg * m st: NotStopd t0: [23:00:00 11/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07944 u1: ... st: NotStopd t0: [23:00:00 11/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.5632 u1: g * m st: NotStopd t0: [23:00:00 11/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.62617 u1: g*m/m2 st: NotStopd t0: [23:00:00 11/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [23:00:00 11/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [23:00:00 11/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 888.889 u1: ... st: NotStopd t0: [23:00:00 11/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1904.76 u1: ... st: NotStopd t0: [23:00:00 11/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 11/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.7522 u1: ml st: NotStopd t0: [23:00:00 11/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [23:00:00 11/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 11/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.3 u1: L/min st: NotStopd t0: [00:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.814 u1: kg x m st: NotStopd t0: [00:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.36 u1: g * m st: NotStopd t0: [00:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [00:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 238.596 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 511.278 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40312 u1: kg * m st: NotStopd t0: [00:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.1215 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.6688 u1: g * m st: NotStopd t0: [00:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.4112 u1: g*m/m2 st: NotStopd t0: [00:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1714.29 u1: ... st: NotStopd t0: [00:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67.8571 u1: ml st: NotStopd t0: [00:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 61 u1: % st: NotStopd t0: [00:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [23:00:00 11/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 11/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [23:00:00 11/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml t0: [23:00:00 11/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vu: ml t0: [23:00:00 11/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 200 vu: ml t0: [23:00:00 11/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [23:00:00 11/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 600 vu: ml
t0: [23:00:00 11/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 1090 cv: 1090 ap: none t0: [23:00:00 11/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -882.7 cv: -882.7 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 200 cv: 300 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 112 cv: 4513.9 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 95.3 cv: 2264.4 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 207.3 cv: 6778.3 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 140 cv: 3085 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -882.7 cv: 1043.3 ap: carryForward t0: [23:00:00 11/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 1090 cv: 5735 ap: carryForward t0: [23:00:00 11/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 600 cv: 1150 ap: none t0: [23:00:00 11/11/2010] dt: 24 id: Drain #3 Total Out el: 3 cu: C-SICU cg: RN pv: 150 cv: 1100 ap: none t0: [23:00:00 11/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -882.7 cv: 35639.3 ap: carryForward
t0: [23:00:00 11/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: 4312 v1: 23cm v2: Teeth st: NotStopd t0: [23:00:00 11/11/2010] id: high mv el: 0 cu: C-SICU cg: 4312 v1: 22 t0: [23:00:00 11/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: 4312 v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 11/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: 4312 v1: 35 u1: cmH2O st: NotStopd t0: [23:00:00 11/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: 4312 v1: 40 u1: BPM st: NotStopd t0: [23:00:00 11/11/2010] id: Airway Size el: 0 cu: C-SICU cg: 4312 v1: 7.5 mm st: NotStopd t0: [23:00:00 11/11/2010] id: Airway Type el: 0 cu: C-SICU cg: 4312 v1: Endotracheal st: NotStopd t0: [23:00:00 11/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: 4312 v1: 34.5 u1: Deg. C st: NotStopd t0: [23:00:00 11/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: 4312 v1: 9 v2: 19 st: NotStopd t0: [23:00:00 11/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: 4312 v1: 5 st: NotStopd t0: [23:00:00 11/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: 4312 v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 11/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: 4312 v1: 17 u1: L/min st: NotStopd t0: [23:00:00 11/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: 4312 v1: 7 u1: cmH2O st: NotStopd t0: [23:00:00 11/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: 4312 v1: 20 st: NotStopd t0: [23:00:00 11/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: 4312 v1: 8 u1: . st: NotStopd t0: [23:00:00 11/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: 4312 v1: 30 u1: BPM st: NotStopd t0: [23:00:00 11/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: 4312 v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 11/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: 4312 v1: 612 u1: ml/B st: NotStopd t0: [23:00:00 11/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: 4312 v1: CPAP+PS st: NotStopd t0: [23:00:00 11/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: 4312 v1: Drager st: NotStopd
t0: [22:00:00 11/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 11/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [22:00:00 11/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 11/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 11/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 11/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 11/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 11/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [00:00:00 12/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 12/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 12/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 142 rs: Manual st: NotStopd t0: [00:00:00 12/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 12/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 12/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 12/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 12/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 12/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 12/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 12/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [00:00:00 12/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 12/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [00:00:00 12/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 12/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 12/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 12/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 12/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 12/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 12/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 12/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 12/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 12/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Loose st: NotStopd t0: [00:00:00 12/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 12/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 12/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 12/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [00:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [00:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [01:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [01:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.41336 u1: kg x m st: NotStopd t0: [01:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.45794 u1: ... st: NotStopd t0: [01:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 74.1336 u1: g * m st: NotStopd t0: [01:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: g*m/m2 st: NotStopd t0: [01:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.90904 u1: kg * m st: NotStopd t0: [01:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.35981 u1: ... st: NotStopd t0: [01:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.0904 u1: g * m st: NotStopd t0: [01:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.5981 u1: g*m/m2 st: NotStopd t0: [01:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [01:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [01:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 718.841 u1: ... st: NotStopd t0: [01:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1540.37 u1: ... st: NotStopd t0: [01:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 69 u1: ml st: NotStopd t0: [01:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [01:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [01:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [01:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [01:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:15:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [01:15:00 12/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [01:15:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:15:00 12/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:15:00 12/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:15:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:15:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:15:00 12/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [01:15:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [01:15:00 12/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [01:15:00 12/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:15:00 12/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [01:15:00 12/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [01:15:00 12/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:15:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [01:15:00 12/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [01:15:00 12/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:15:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [01:15:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [01:15:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [01:15:00 12/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:15:00 12/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:15:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:45:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:45:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:45:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:45:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:45:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [01:45:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:45:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:45:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:45:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:45:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:45:00 12/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [01:45:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [01:45:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [02:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [02:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.96944 u1: kg x m st: NotStopd t0: [02:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [02:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.5488 u1: g * m st: NotStopd t0: [02:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [02:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [02:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.28752 u1: kg * m st: NotStopd t0: [02:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07009 u1: ... st: NotStopd t0: [02:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.0304 u1: g * m st: NotStopd t0: [02:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1495 u1: g*m/m2 st: NotStopd t0: [02:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [02:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 620.69 u1: ... st: NotStopd t0: [02:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1328.41 u1: ... st: NotStopd t0: [02:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.9091 u1: ml st: NotStopd t0: [02:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 61 u1: % st: NotStopd t0: [02:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [02:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [02:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [01:45:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:30:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:30:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:30:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:30:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:30:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.20608 u1: kg x m st: NotStopd t0: [02:30:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.4464 u1: g * m st: NotStopd t0: [02:30:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [02:30:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [02:30:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [02:30:00 12/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [02:30:00 12/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 179.31 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 383.764 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:30:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:30:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:30:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [02:30:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.10748 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.112 u1: g * m st: NotStopd t0: [02:30:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [02:30:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:30:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 662.069 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1416.97 u1: ... st: NotStopd t0: [02:30:00 12/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [02:30:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [02:30:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.7363 u1: ml st: NotStopd t0: [02:30:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 60 u1: % st: NotStopd t0: [02:30:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [02:30:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:34:00 12/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [02:34:00 12/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.23 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [02:31:00 12/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 35.9 u1: % rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 155 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:34:00 12/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 15.3443 u1: ml/dl st: NotStopd t0: [02:34:00 12/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 870 u1: ml/min st: NotStopd t0: [02:34:00 12/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 406.5 u1: ml/m/m st: NotStopd t0: [02:34:00 12/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 870 u1: ml/min st: NotStopd t0: [02:34:00 12/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 406.542 u1: ml/m/m st: NotStopd t0: [02:34:00 12/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 870 u1: ml/min st: NotStopd t0: [02:34:00 12/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 406.542 u1: ml/m/m st: NotStopd
t0: [03:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [03:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.26688 u1: kg x m st: NotStopd t0: [03:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [03:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.648 u1: g * m st: NotStopd t0: [03:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [03:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.69824 u1: kg * m st: NotStopd t0: [03:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.26168 u1: ... st: NotStopd t0: [03:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.404 u1: g * m st: NotStopd t0: [03:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8037 u1: g*m/m2 st: NotStopd t0: [03:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [03:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 675 u1: ... st: NotStopd t0: [03:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1444.82 u1: ... st: NotStopd t0: [03:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.3061 u1: ml st: NotStopd t0: [03:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [03:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [03:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 12/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [03:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [03:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [03:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 4552.1 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2210.7 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 7282.8 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 2780 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 2827.8 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 4455 ap: none t0: [23:00:00 12/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 38467.1 ap: carryForward
t0: [02:31:00 12/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 11.7 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 60 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 455 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 265 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 11.7 rs: Final st: NotStopd
t0: [02:31:00 12/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 76.4 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [02:31:00 12/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 76.4 rs: Final st: NotStopd
t0: [00:00:00 12/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 12/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 12/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [04:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 12/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 12/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 12/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 12/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 12/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 12/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 12/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 12/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 12/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 12/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 12/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.4264 u1: kg x m st: NotStopd t0: [04:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [04:00:00 12/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 12/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.072 u1: g * m st: NotStopd t0: [04:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [04:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [04:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 12/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 12/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 12/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.17056 u1: kg * m st: NotStopd t0: [04:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.01402 u1: ... st: NotStopd t0: [04:00:00 12/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 12/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.2288 u1: g * m st: NotStopd t0: [04:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8411 u1: g*m/m2 st: NotStopd t0: [04:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 12/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [04:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 757.895 u1: ... st: NotStopd t0: [04:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1624.06 u1: ... st: NotStopd t0: [04:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 12/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Loose st: NotStopd t0: [04:00:00 12/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.6383 u1: ml st: NotStopd t0: [04:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [04:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [04:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 12/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 12/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [04:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [04:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [04:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [04:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:15:00 12/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: 4312 v1: 57.5296 u1: units st: NotStopd t0: [04:15:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: 4312 v1: 23cm v2: Teeth st: NotStopd t0: [04:15:00 12/11/2010] id: high mv el: 0 cu: C-SICU cg: 4312 v1: 22 t0: [04:15:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: 4312 v1: 0.5 u1: torr st: NotStopd t0: [04:15:00 12/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: 4312 v1: 35 u1: cmH2O st: NotStopd t0: [04:15:00 12/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: 4312 v1: 40 u1: BPM st: NotStopd t0: [04:15:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: 4312 v1: 7.5 mm st: NotStopd t0: [04:15:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: 4312 v1: Endotracheal st: NotStopd t0: [04:15:00 12/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: 4312 v1: 34.5 u1: Deg. C st: NotStopd t0: [04:15:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: 4312 v1: 9 v2: 19 st: NotStopd t0: [04:15:00 12/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: 4312 v1: 5 st: NotStopd t0: [04:15:00 12/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: 4312 v1: 11 u1: cmH2O st: NotStopd t0: [04:15:00 12/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: 4312 v1: 15.6 u1: L/min st: NotStopd t0: [04:15:00 12/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: 4312 v1: 7 u1: cmH2O st: NotStopd t0: [04:15:00 12/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: 4312 v1: 20 st: NotStopd t0: [04:15:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: 4312 v1: 12 u1: . st: NotStopd t0: [04:15:00 12/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: 4312 v1: 57.5296 u1: units st: NotStopd t0: [04:15:00 12/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: 4312 v1: 23 u1: BPM st: NotStopd t0: [04:15:00 12/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: 4312 v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: 4312 v1: 96 u1: % st: NotStopd t0: [04:15:00 12/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: 4312 v1: 34 u1: BPM st: NotStopd t0: [04:15:00 12/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: 4312 v1: 0.591 u1: L st: NotStopd t0: [04:15:00 12/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: 4312 v1: 651 u1: ml/B st: NotStopd t0: [04:15:00 12/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: 4312 v1: CPAP+PS st: NotStopd t0: [04:15:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: 4312 v1: Drager st: NotStopd
t0: [05:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [06:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [06:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [06:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.21424 u1: kg x m st: NotStopd t0: [06:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 49.2456 u1: g * m st: NotStopd t0: [06:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.8972 u1: g*m/m2 st: NotStopd t0: [06:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [06:00:00 12/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [06:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [06:00:00 12/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 192.593 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 412.698 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.98288 u1: kg * m st: NotStopd t0: [06:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.925234 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.7272 u1: g * m st: NotStopd t0: [06:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.73832 u1: g*m/m2 st: NotStopd t0: [06:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 844.444 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1809.52 u1: ... st: NotStopd t0: [06:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.9434 u1: ml st: NotStopd t0: [06:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 61 u1: % st: NotStopd t0: [06:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [06:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [06:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [06:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [05:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [05:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [05:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml t0: [06:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [06:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [06:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml t0: [06:00:00 12/11/2010] tf: [04:00:00 13/11/2010] dt: 1320 id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 25 vu: ml t0: [06:00:00 12/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml t0: [06:00:00 12/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml t0: [06:00:00 12/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: RN vu: ml t0: [06:00:00 12/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [06:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:30:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [07:30:00 12/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [07:30:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:30:00 12/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [07:30:00 12/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:30:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:30:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:30:00 12/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [07:30:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [07:30:00 12/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [07:30:00 12/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:30:00 12/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [07:30:00 12/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [07:30:00 12/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [07:30:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [07:30:00 12/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [07:30:00 12/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:30:00 12/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [07:30:00 12/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:30:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 12/11/2010] id: Drain Out #3 Other el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
tf: [20:00:00 13/11/2010] pt: Unit Dose rt: IV fr: ASDIR m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm
t0: [07:30:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:30:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [07:30:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [07:30:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [07:30:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:30:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [07:30:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [07:30:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:30:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [07:30:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:30:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [08:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 12/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 12/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 12/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 12/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 112 t0: [08:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.17848 u1: kg x m st: NotStopd t0: [08:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [08:00:00 12/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.8792 u1: g * m st: NotStopd t0: [08:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [08:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 12/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 12/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 12/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 12/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.48744 u1: kg * m st: NotStopd t0: [08:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.16355 u1: ... st: NotStopd t0: [08:00:00 12/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [08:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.7176 u1: g * m st: NotStopd t0: [08:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.0093 u1: g*m/m2 st: NotStopd t0: [08:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [08:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 867.797 u1: ... st: NotStopd t0: [08:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1855.07 u1: ... st: NotStopd t0: [08:00:00 12/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.8247 u1: ml st: NotStopd t0: [08:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [08:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 12/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [08:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 200 vu: ml t0: [08:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [08:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 190.6 vu: ml t0: [08:00:00 12/11/2010] id: Albumin 5% IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 250 vu: ml
t0: [07:30:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [07:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [08:00:00 12/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 12/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 12/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 12/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 12/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 12/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 12/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 12/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [08:00:00 12/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 12/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 12/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 12/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 12/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [08:00:00 12/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 12/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 12/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 12/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 12/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 12/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [09:11:00 12/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.09 rs: Final st: NotStopd t0: [09:11:00 12/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [09:13:00 12/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [09:13:00 12/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: 3161 v1: 70 rs: Final st: NotStopd
t0: [09:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [09:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.64128 u1: kg x m st: NotStopd t0: [09:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [09:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.1872 u1: g * m st: NotStopd t0: [09:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [09:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.15696 u1: kg * m st: NotStopd t0: [09:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [09:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.6304 u1: g * m st: NotStopd t0: [09:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.5607 u1: g*m/m2 st: NotStopd t0: [09:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [09:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 708.197 u1: ... st: NotStopd t0: [09:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1515.79 u1: ... st: NotStopd t0: [09:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.2105 u1: ml st: NotStopd t0: [09:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [09:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 12/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: RN v1: 10.8 u1: gm/dl rs: Manual st: NotStopd t0: [09:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [09:13:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [09:13:00 12/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: RN v1: 6.37378 u1: L/min st: NotStopd
t0: [09:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 100 vu: ml t0: [09:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [09:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml t0: [09:00:00 12/11/2010] id: Albumin 5% IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 250 vu: ml
t0: [09:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
tf: [09:00:00 12/11/2010] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [09:00:00 12/11/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg m2: D5W v2: 50 u2: ml tf: [09:00:00 13/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Cosyntropin v1: 250 u1: mcg tf: [18:00:00 19/11/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl v1: 400 u1: mg
t0: [10:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [10:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [10:00:00 12/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [10:00:00 12/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 20 vu: ml t0: [10:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [10:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 20 ap: none
t0: [09:00:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd
t0: [02:31:00 12/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd
t0: [11:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 12/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: NIVS st: NotStopd t0: [11:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [11:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
pt: TPN
t0: [10:00:00 12/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 110.6 rs: Final st: NotStopd t0: [10:00:00 12/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 110.6 rs: Final st: NotStopd
t0: [11:00:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [11:00:00 12/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [11:00:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 12/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:00:00 12/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:00:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 12/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [11:00:00 12/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 12/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [11:00:00 12/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [11:00:00 12/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [11:00:00 12/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [11:00:00 12/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:00:00 12/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 12/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [11:00:00 12/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 12/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [09:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [09:00:00 12/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [10:00:00 12/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [11:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 12/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 12/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 12/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 12/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 12/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 12/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 12/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 12/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 12/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 12/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 105 t0: [12:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 12/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [12:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.0996 u1: kg x m st: NotStopd t0: [12:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 12/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.2424 u1: g * m st: NotStopd t0: [12:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [12:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 12/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 12/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 135.385 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 289.474 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 12/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 12/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 12/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 12/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1216 u1: kg * m st: NotStopd t0: [12:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.990654 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 12/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.9104 u1: g * m st: NotStopd t0: [12:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.29907 u1: g*m/m2 st: NotStopd t0: [12:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 12/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 726.154 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1552.63 u1: ... st: NotStopd t0: [12:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.3208 u1: ml st: NotStopd t0: [12:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [12:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 12/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 12/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 12/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [11:00:00 12/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [12:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [12:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 190.6 vu: ml t0: [12:00:00 12/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [11:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:01:00 12/11/2010] id: Cough Reflex el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:01:00 12/11/2010] id: Gag Reflex el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:01:00 12/11/2010] id: Pupil Response R/L el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:01:00 12/11/2010] id: Pupil Size R/L el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [12:07:00 12/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [12:07:00 12/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:07:00 12/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [12:07:00 12/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [12:07:00 12/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [12:07:00 12/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [12:07:00 12/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [12:07:00 12/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd
tf: [16:00:00 12/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [16:00:00 12/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Heparin v1: 2000 u1: UNIT
t0: [13:12:00 12/11/2010] id: BSA el: 1033 cu: C-SICU cg: -1 v1: 2.14119 u1: m2 t0: [13:12:00 12/11/2010] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 90 u1: kg t0: [13:12:00 12/11/2010] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [13:12:00 12/11/2010] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: RUPTURED AAA t0: [13:12:00 12/11/2010] id: Service el: 1026 cu: C-SICU cg: -1 v1: VSU t0: [13:12:00 12/11/2010] id: Admit Ht el: 1034 cu: C-SICU cg: -1 v1: 71 u1: inches t0: [13:12:00 12/11/2010] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [13:12:00 12/11/2010] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [13:12:00 12/11/2010] id: Religion el: 1000 cu: C-SICU cg: -1 v1: NSP t0: [13:12:00 12/11/2010] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [13:12:00 12/11/2010] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [13:12:00 12/11/2010] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [13:12:00 12/11/2010] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
t0: [13:35:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [13:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
id: Neosynephrine-k el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 40mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 101 cu: C-SICU cg: RN io: D5W 250.0ml + 40mcgkgmin Neosynephrine-k IV Infusions am: 40 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 101 cu: C-SICU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 40 du: mcgkgmin rt: IV Drip id: Propofol el: 200 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 40mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 2 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [14:00:00 12/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [14:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 12/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [14:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [14:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [14:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 190.6 vu: ml
t0: [14:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:30:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [14:30:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:30:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:30:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:30:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:30:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [14:30:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:30:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:30:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:30:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:30:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [15:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [15:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 4.5 vu: ml t0: [15:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [15:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [15:00:00 12/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [15:00:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 12/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [15:00:00 12/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [15:00:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 12/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [15:00:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [15:00:00 12/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [15:00:00 12/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:00:00 12/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [15:00:00 12/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [15:00:00 12/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [15:00:00 12/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [15:00:00 12/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 12/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [15:00:00 12/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [16:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 12/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 12/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 12/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 12/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 12/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 12/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 12/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 12/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 12/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 12/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [16:00:00 12/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 12/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 12/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.96128 u1: kg x m st: NotStopd t0: [16:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [16:00:00 12/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 12/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.4464 u1: g * m st: NotStopd t0: [16:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [16:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 12/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 12/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 12/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 12/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.86048 u1: kg * m st: NotStopd t0: [16:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.869159 u1: ... st: NotStopd t0: [16:00:00 12/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 12/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.5424 u1: g * m st: NotStopd t0: [16:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.0467 u1: g*m/m2 st: NotStopd t0: [16:00:00 12/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 12/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [16:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 757.895 u1: ... st: NotStopd t0: [16:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1624.06 u1: ... st: NotStopd t0: [16:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.5172 u1: ml st: NotStopd t0: [16:00:00 12/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [16:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [16:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [16:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 12/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 12/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 12/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 12/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 12/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 12/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 12/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 12/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 12/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 12/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [16:00:00 12/11/2010] tf: [22:00:00 12/11/2010] dt: 360 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [16:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 10 vu: ml t0: [16:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 12/11/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: C-SICU cg: RN ai: 126 vu: ml nb: 1 t0: [16:00:00 12/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [16:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 95.3 vu: ml
t0: [16:00:00 12/11/2010] tf: [21:17:00 07/12/2010] dt: 36317 id: Neosynephrine-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/11/2010] tf: [21:17:00 07/12/2010] dt: 36317 id: Propofol el: 2 cu: C-SICU cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [18:00:00 12/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml tf: [18:00:00 12/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg m2: Soln. v2: 100 u2: ml
t0: [17:27:00 12/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [17:27:00 12/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.92 rs: Final st: NotStopd t0: [17:27:00 12/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 rs: Final st: NotStopd
t0: [16:56:00 12/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 37.8 rs: Final st: NotStopd t0: [16:56:00 12/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 37.8 rs: Final st: NotStopd
t0: [17:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [17:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [17:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [17:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Family at Bedsid st: NotStopd t0: [18:00:00 12/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 12/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [18:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [18:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [18:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [18:00:00 12/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [18:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 12/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [18:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 190.6 vu: ml t0: [18:00:00 12/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 700 vu: ml
t0: [17:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 12/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 12/11/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 12/11/2010] id: Troponin Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 12/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [19:00:00 12/11/2010] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: -1 ai: 338 vo: 0 st: D/C'd t0: [19:00:00 12/11/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [19:00:00 12/11/2010] id: Packed RBC's IV Infusions el: 2 cu: C-SICU cg: -1 ai: -1 vo: 0 st: D/C'd t0: [19:00:00 12/11/2010] id: Impact w/fiber Tube Feeding el: 1 cu: C-SICU cg: -1 ai: 115 vo: 0 st: D/C'd t0: [19:00:00 12/11/2010] id: Albumin 5% IV Infusions el: 2 cu: C-SICU cg: -1 ai: 210 vo: 0 st: D/C'd t0: [19:00:00 12/11/2010] id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: -1 ai: 338 vo: 0 st: D/C'd
t0: [19:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [19:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [19:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [19:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [19:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 12/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 12/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 12/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 12/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 12/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 12/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 12/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 12/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 12/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 12/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 12/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 12/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 12/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 12/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 114 t0: [20:00:00 12/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 12/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 12/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 12/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 12/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 12/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 12/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 12/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.3104 u1: kg x m st: NotStopd t0: [20:00:00 12/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 12/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 67.456 u1: g * m st: NotStopd t0: [20:00:00 12/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [20:00:00 12/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [20:00:00 12/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 206.897 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 442.804 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 12/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 12/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 12/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.972 u1: kg * m st: NotStopd t0: [20:00:00 12/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.920561 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 12/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.08 u1: g * m st: NotStopd t0: [20:00:00 12/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.85981 u1: g*m/m2 st: NotStopd t0: [20:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 12/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 12/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 12/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 965.517 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2066.42 u1: ... st: NotStopd t0: [20:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 12/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 12/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.3656 u1: ml st: NotStopd t0: [20:00:00 12/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [20:00:00 12/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 12/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [20:00:00 12/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [20:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 12/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 12/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 12/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 12/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 12/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 12/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 12/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 12/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 12/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 12/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 12/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [20:00:00 12/11/2010] tf: [13:00:00 18/11/2010] dt: 8220 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [20:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [20:00:00 12/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [20:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 12/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml t0: [20:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [20:00:00 12/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [20:00:00 12/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [20:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN cv: 125 ap: none t0: [23:00:00 12/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [20:15:00 12/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:15:00 12/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [20:15:00 12/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:15:00 12/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:15:00 12/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:15:00 12/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:15:00 12/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:15:00 12/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [20:15:00 12/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:15:00 12/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:15:00 12/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:15:00 12/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.4 u1: L/min st: NotStopd t0: [20:15:00 12/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:15:00 12/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:15:00 12/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:15:00 12/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:15:00 12/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:15:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:15:00 12/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:15:00 12/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:15:00 12/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 12/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 12/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [21:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 12/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 12/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 12/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 12/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 12/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [22:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 12/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 12/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [22:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 12/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 12/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 12/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 12/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 12/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Ultrasound st: NotStopd t0: [22:00:00 12/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 12/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:00:00 12/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 12/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 12/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 12/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 12/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 12/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 12/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 12/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 12/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [22:00:00 12/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 12/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 83.4 vu: ml st: Stopped t0: [22:00:00 12/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [22:00:00 12/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [21:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 1450 ap: none
t0: [22:00:00 12/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [22:00:00 12/11/2010] id: Vancomycin/Trough Drug Level el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [05:00:00 13/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: .9% Normal Saline el: 2 cu: C-SICU cg: RN io: .9% Normal Saline IV Infusions du: ml rt: Intravenous Push
t0: [22:00:00 12/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 60.3 rs: Final st: NotStopd t0: [22:00:00 12/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 60.3 rs: Final st: NotStopd
t0: [23:00:00 12/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 12/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 12/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 12/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 12/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 12/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [23:00:00 12/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [23:00:00 12/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 12/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 12/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 12/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 12/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 13/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 13/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 13/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 13/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 13/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 13/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 13/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 13/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 13/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 13/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 13/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 13/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 13/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 13/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 13/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 13/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 13/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 13/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 13/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 13/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 13/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 13/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [00:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 13/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.6064 u1: g * m st: NotStopd t0: [00:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [00:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 13/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 13/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [00:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 13/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 13/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 186.667 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 400 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 13/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 13/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 13/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.9584 u1: kg * m st: NotStopd t0: [00:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.915888 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 13/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.8688 u1: g * m st: NotStopd t0: [00:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.2336 u1: g*m/m2 st: NotStopd t0: [00:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 13/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 13/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 13/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 826.667 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1771.43 u1: ... st: NotStopd t0: [00:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 13/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.6667 u1: ml st: NotStopd t0: [00:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [00:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 13/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 13/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 13/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [00:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [00:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [23:00:00 12/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 13/11/2010] tf: [21:17:00 07/12/2010] dt: 35837 id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 350 vu: ml nb: 1
t0: [00:00:00 13/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [00:00:00 13/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 13/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [00:00:00 13/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 13/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [00:00:00 13/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 13/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 13/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 13/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [01:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 13/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [02:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [02:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 13/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 13/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 13/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 0 vu: ml t0: [02:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [02:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [02:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [01:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 100 ap: none t0: [23:00:00 13/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 13/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1285.5 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2400 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3685.5 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 2590 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: -404.5 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 4090 ap: none t0: [23:00:00 13/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 38062.6 ap: carryForward
t0: [03:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [03:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [03:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:06:00 13/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [04:06:00 13/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:06:00 13/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:06:00 13/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [04:06:00 13/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [04:06:00 13/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [02:00:00 13/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 13/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 13/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 13/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 13/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 13/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 13/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 13/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 13/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 13/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 13/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 13/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 13/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 13/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 13/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 13/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 13/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 13/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 13/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 13/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 13/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 13/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 13/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.4604 u1: kg x m st: NotStopd t0: [04:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 13/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.5608 u1: g * m st: NotStopd t0: [04:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [04:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 13/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 13/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [04:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 13/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 13/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 189.091 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 404.669 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 13/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 13/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.7204 u1: kg * m st: NotStopd t0: [04:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.803738 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 13/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.0808 u1: g * m st: NotStopd t0: [04:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.92523 u1: g*m/m2 st: NotStopd t0: [04:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 13/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 13/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 13/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 916.364 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1961.09 u1: ... st: NotStopd t0: [04:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 13/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.1111 u1: ml st: NotStopd t0: [04:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [04:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [04:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [04:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 13/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 13/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 13/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [04:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [04:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [04:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [04:00:00 13/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [04:00:00 13/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 0 vu: ml t0: [04:00:00 13/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [04:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:10:00 13/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 49.3359 u1: units st: NotStopd t0: [04:10:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:10:00 13/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [04:10:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:10:00 13/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:10:00 13/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:10:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:10:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:10:00 13/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:10:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:10:00 13/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:10:00 13/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:10:00 13/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [04:10:00 13/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:10:00 13/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:10:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:10:00 13/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 49.3359 u1: units st: NotStopd t0: [04:10:00 13/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:10:00 13/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:10:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:10:00 13/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:10:00 13/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.527 u1: L st: NotStopd t0: [04:10:00 13/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 575 u1: ml/B st: NotStopd t0: [04:10:00 13/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:10:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 13/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 35.5 u1: % rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.85 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 rs: Final st: NotStopd
t0: [05:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [05:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [05:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 13/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd
t0: [04:00:00 13/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 52 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 52 rs: Final st: NotStopd
t0: [22:00:00 12/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: DONE t0: [22:00:00 12/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 12/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [04:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd
t0: [05:30:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 13/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 64 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 477 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [06:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [06:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [06:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [06:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [06:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [06:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [06:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20.5 vu: ml t0: [06:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [06:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [04:00:00 13/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
tf: [16:00:00 13/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [08:00:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [08:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 13/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 13/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 13/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 13/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 13/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 13/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 13/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 13/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 13/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 13/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 13/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 13/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 113 t0: [08:00:00 13/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 13/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 13/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 13/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 13/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 13/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [08:00:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 13/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 13/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.83848 u1: kg x m st: NotStopd t0: [08:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [08:00:00 13/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 13/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.1816 u1: g * m st: NotStopd t0: [08:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [08:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 13/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 13/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [08:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 13/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 13/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 13/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.58576 u1: kg * m st: NotStopd t0: [08:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.742991 u1: ... st: NotStopd t0: [08:00:00 13/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 13/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 15.2592 u1: g * m st: NotStopd t0: [08:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.14953 u1: g*m/m2 st: NotStopd t0: [08:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 13/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 13/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [08:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1086.79 u1: ... st: NotStopd t0: [08:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2322.58 u1: ... st: NotStopd t0: [08:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 13/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 13/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 13/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 13/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Liquid st: NotStopd t0: [08:00:00 13/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.4563 u1: ml st: NotStopd t0: [08:00:00 13/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [08:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 13/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 13/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 13/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [08:00:00 13/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 13/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 13/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 13/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 13/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 13/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 13/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 13/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [08:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [08:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [08:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [08:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:03:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:03:00 13/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [08:03:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:03:00 13/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:03:00 13/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:03:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:03:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:03:00 13/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [08:03:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:03:00 13/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:03:00 13/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:03:00 13/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [08:03:00 13/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:03:00 13/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:03:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:03:00 13/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [08:03:00 13/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:03:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:03:00 13/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [08:03:00 13/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:03:00 13/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 632 u1: ml/B st: NotStopd t0: [08:03:00 13/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:03:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 13/11/2010] id: Direct Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Direct Bili (0-0.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [04:00:00 13/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [09:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [09:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [09:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.99392 u1: kg x m st: NotStopd t0: [09:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [09:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 46.24 u1: g * m st: NotStopd t0: [09:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.4953 u1: g*m/m2 st: NotStopd t0: [09:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [09:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.54224 u1: kg * m st: NotStopd t0: [09:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.719626 u1: ... st: NotStopd t0: [09:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 14.28 u1: g * m st: NotStopd t0: [09:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 6.68224 u1: g*m/m2 st: NotStopd t0: [09:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: ... st: NotStopd t0: [09:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 918.519 u1: ... st: NotStopd t0: [09:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1968.25 u1: ... st: NotStopd t0: [09:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50 u1: ml st: NotStopd t0: [09:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [09:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [09:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
tf: [08:00:00 15/11/2010] pt: Unit Dose rt: IV fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg
t0: [09:08:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 6 u1: . st: NotStopd
tf: [09:00:00 13/11/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 10, 18, 2 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg m2: Vial v2: 1 u2: VIAL
t0: [10:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [10:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [10:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 13/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 110 t0: [10:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.28768 u1: kg x m st: NotStopd t0: [10:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [10:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 50.9184 u1: g * m st: NotStopd t0: [10:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: g*m/m2 st: NotStopd t0: [10:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [10:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.54224 u1: kg * m st: NotStopd t0: [10:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.719626 u1: ... st: NotStopd t0: [10:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 14.8512 u1: g * m st: NotStopd t0: [10:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 6.96262 u1: g*m/m2 st: NotStopd t0: [10:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: ... st: NotStopd t0: [10:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 948.148 u1: ... st: NotStopd t0: [10:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2031.75 u1: ... st: NotStopd t0: [10:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.9231 u1: ml st: NotStopd t0: [10:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [10:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [10:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [10:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [10:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [10:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [10:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [10:00:00 13/11/2010] tf: [22:00:00 15/11/2010] dt: 3600 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:39:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [11:39:00 13/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [11:39:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:39:00 13/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:39:00 13/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:39:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:39:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:39:00 13/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [11:39:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [11:39:00 13/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [11:39:00 13/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:39:00 13/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.7 u1: L/min st: NotStopd t0: [11:39:00 13/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [11:39:00 13/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [11:39:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [11:39:00 13/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [11:39:00 13/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:39:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [11:39:00 13/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [11:39:00 13/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [11:39:00 13/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 645 u1: ml/B st: NotStopd t0: [11:39:00 13/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:39:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 13/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 13/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [11:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [11:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:30:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [11:30:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [11:30:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [11:30:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:30:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 147 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [11:30:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [11:30:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:30:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [11:30:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [11:30:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [11:30:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [12:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 13/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 13/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 13/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 13/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 13/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 13/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 13/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 13/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 13/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 13/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 13/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 13/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 13/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [12:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 13/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 105 t0: [12:00:00 13/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 13/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 13/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 13/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 13/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 13/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [12:00:00 13/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [12:00:00 13/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 13/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.57248 u1: kg x m st: NotStopd t0: [12:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.5514 u1: ... st: NotStopd t0: [12:00:00 13/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 13/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.6256 u1: g * m st: NotStopd t0: [12:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [12:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 13/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 13/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [12:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 13/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 13/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 13/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [12:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 13/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.43712 u1: kg * m st: NotStopd t0: [12:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14019 u1: ... st: NotStopd t0: [12:00:00 13/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 13/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.0864 u1: g * m st: NotStopd t0: [12:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.3271 u1: g*m/m2 st: NotStopd t0: [12:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 13/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 13/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [12:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 912.5 u1: ... st: NotStopd t0: [12:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1953.18 u1: ... st: NotStopd t0: [12:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 13/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 13/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Liquid st: NotStopd t0: [12:00:00 13/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.6577 u1: ml st: NotStopd t0: [12:00:00 13/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [12:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [12:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [12:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 13/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 13/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 13/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 13/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 13/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 121 rs: Manual st: NotStopd t0: [12:00:00 13/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [12:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [12:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [12:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [11:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN
t0: [13:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [13:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [13:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [13:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [13:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [13:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [13:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [14:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [14:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [14:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 13/11/2010] id: EDVI el: 1 cu: C-SICU cg: RN v1: 134 t0: [14:00:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [14:00:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [14:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.95328 u1: kg x m st: NotStopd t0: [14:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.73832 u1: ... st: NotStopd t0: [14:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.0064 u1: g * m st: NotStopd t0: [14:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [14:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [14:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [14:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.58944 u1: kg * m st: NotStopd t0: [14:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.21028 u1: ... st: NotStopd t0: [14:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.4672 u1: g * m st: NotStopd t0: [14:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.514 u1: g*m/m2 st: NotStopd t0: [14:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [14:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 847.059 u1: ... st: NotStopd t0: [14:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1811.32 u1: ... st: NotStopd t0: [14:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 13/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 13/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.1304 u1: ml st: NotStopd t0: [14:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [14:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [14:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [14:00:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [14:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [14:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [14:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [14:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [13:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [15:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [15:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 13/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.65952 u1: kg x m st: NotStopd t0: [15:00:00 13/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.59813 u1: ... st: NotStopd t0: [15:00:00 13/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.2176 u1: g * m st: NotStopd t0: [15:00:00 13/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: g*m/m2 st: NotStopd t0: [15:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [15:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [15:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [15:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 13/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.43712 u1: kg * m st: NotStopd t0: [15:00:00 13/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14019 u1: ... st: NotStopd t0: [15:00:00 13/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.7056 u1: g * m st: NotStopd t0: [15:00:00 13/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.1402 u1: g*m/m2 st: NotStopd t0: [15:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 13/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [15:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 937.5 u1: ... st: NotStopd t0: [15:00:00 13/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2006.69 u1: ... st: NotStopd t0: [15:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 13/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.6372 u1: ml st: NotStopd t0: [15:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [15:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [15:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [13:00:00 15/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 16 dn: 1 m1: Ambisome v1: 210 u1: mg m2: D5W v2: 105 u2: ml tf: [15:00:00 16/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 16 dn: 1 m1: Ambisome v1: 210 u1: mg m2: D5W v2: 157.5 u2: ml
t0: [16:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 13/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 13/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 13/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 13/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 13/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 13/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 13/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 13/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 13/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 13/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [16:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 13/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 13/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 13/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 13/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 13/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 13/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 13/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 13/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 13/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 13/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 13/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [16:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:00:00 13/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 13/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 13/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [16:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 13/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 13/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 13/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 13/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 13/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Liquid st: NotStopd t0: [16:00:00 13/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 13/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [16:00:00 13/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 13/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Restless st: NotStopd t0: [16:00:00 13/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 13/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 13/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 13/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 13/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 13/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 13/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 13/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 190 vo: 20 vu: ml t0: [16:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [16:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [16:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:40:00 13/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [16:40:00 13/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [16:44:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:44:00 13/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [16:44:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:44:00 13/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:44:00 13/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:44:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:44:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:44:00 13/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [16:44:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:44:00 13/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:44:00 13/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:44:00 13/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19 u1: L/min st: NotStopd t0: [16:44:00 13/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:44:00 13/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:44:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:44:00 13/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [16:44:00 13/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:44:00 13/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [16:44:00 13/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:44:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 13/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 13/11/2010] id: PCWP el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 13/11/2010] id: SVR el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 13/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 13/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [21:00:00 13/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [16:30:00 13/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [16:30:00 13/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:30:00 13/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [16:30:00 13/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:30:00 13/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [16:30:00 13/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd
t0: [16:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 13/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [17:00:00 13/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [17:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [17:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [17:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 13/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:00:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [18:00:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 13/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 13/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 13/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [18:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [18:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 13/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 13/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 13/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [18:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [18:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [17:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 13/11/2010] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: -1 ai: 190 vo: 0 st: D/C'd t0: [18:00:00 13/11/2010] id: D5W IV Infusions el: 1 cu: C-SICU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [18:00:00 13/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [18:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 13/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [18:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 123 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [18:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 13/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 13/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:30:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:30:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:30:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:30:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:30:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [18:30:00 13/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd
t0: [18:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:03:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [17:00:00 13/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [18:00:00 13/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [19:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [19:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/11/2010] tf: [22:00:00 13/11/2010] dt: 240 id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [19:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 13/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:00:00 13/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 13/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 13/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 13/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 13/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 13/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 13/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 13/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 13/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 13/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 13/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 13/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 13/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 13/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 13/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 13/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 13/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 13/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [20:00:00 13/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 13/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 13/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 13/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 13/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [20:00:00 13/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 13/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 13/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 13/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 13/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 13/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 13/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 13/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 13/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 13/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 13/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 13/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 13/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [20:00:00 13/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [20:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [20:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:15:00 13/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:15:00 13/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [20:15:00 13/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:15:00 13/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:15:00 13/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:15:00 13/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:15:00 13/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:15:00 13/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [20:15:00 13/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [20:15:00 13/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:15:00 13/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:15:00 13/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [20:15:00 13/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:15:00 13/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:15:00 13/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:15:00 13/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:15:00 13/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:15:00 13/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [20:15:00 13/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:15:00 13/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd
t0: [21:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 13/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 13/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 13/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 13/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 13/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 13/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 13/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 13/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 13/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 13/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:00:00 13/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 13/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 13/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 13/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 13/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 13/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 13/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 13/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 13/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 13/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [22:00:00 13/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [22:00:00 13/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 13/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 23 vu: ml t0: [22:00:00 13/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [22:00:00 13/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 13/11/2010] tf: [22:00:00 13/11/2010] dt: 240 id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [18:00:00 13/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 800 vu: ml t0: [22:00:00 13/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [22:00:00 13/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 0 vu: ml t0: [22:00:00 13/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [22:00:00 13/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [23:00:00 13/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN cv: 100 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 100 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 13/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 1300 ap: none
tf: [05:00:00 15/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [23:00:00 13/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 14/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 14/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 14/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 14/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 14/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 14/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 14/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 14/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 14/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 14/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 14/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 14/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 14/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 14/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 14/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 14/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 14/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 14/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 14/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 130 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 14/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 14/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 14/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 14/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 14/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 14/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 14/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 14/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 14/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 14/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 14/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 14/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 14/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 14/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 100 vu: ml t0: [00:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [00:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [00:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:30:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:30:00 14/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [00:30:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 14/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:30:00 14/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:30:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 14/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [00:30:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:30:00 14/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:30:00 14/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:30:00 14/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [00:30:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:30:00 14/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:30:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:30:00 14/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:30:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:30:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:30:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 13/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 117 rs: Manual st: NotStopd t0: [20:00:00 13/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 13/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 13/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 13/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 117 rs: Manual st: NotStopd
t0: [01:25:00 14/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.6 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.6 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 36.9 u1: % rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.1 u1: gm/dl rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 151 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.6 rs: Final st: NotStopd
t0: [01:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 14/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [02:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [02:00:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 14/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 14/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 14/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 14/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [02:00:00 14/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [02:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [02:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [02:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:25:00 14/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 62.4 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 62.4 rs: Final st: NotStopd
t0: [02:11:00 14/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [02:11:00 14/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:11:00 14/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:11:00 14/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:11:00 14/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [02:11:00 14/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [01:25:00 14/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 63 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 63 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [01:25:00 14/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd
t0: [03:00:00 14/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [03:00:00 14/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [04:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 14/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 14/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 14/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [04:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 14/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 14/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 14/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 14/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 14/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 14/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Restraint DC'd st: NotStopd t0: [04:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 14/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 14/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [04:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [04:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [04:00:00 14/11/2010] tf: [00:00:00 15/11/2010] dt: 1200 id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 25 vu: ml t0: [04:00:00 14/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [04:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:40:00 14/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 67.3684 u1: units st: NotStopd t0: [04:40:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:40:00 14/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [04:40:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:40:00 14/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:40:00 14/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:40:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:40:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:40:00 14/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:40:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:40:00 14/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:40:00 14/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:40:00 14/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [04:40:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:40:00 14/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:40:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:40:00 14/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 67.3684 u1: units st: NotStopd t0: [04:40:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:40:00 14/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:40:00 14/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [04:40:00 14/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.475 u1: L st: NotStopd t0: [04:40:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:40:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:40:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:40:00 14/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:40:00 14/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [04:00:00 14/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: DONE t0: [04:00:00 14/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 14/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 14/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 14/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 14/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 14/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 14/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 14/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 14/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 14/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 14/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 14/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 14/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 14/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 14/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [05:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 14/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [05:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [05:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [04:00:00 14/11/2010] tf: [00:00:00 15/11/2010] dt: 1200 id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [04:00:00 14/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [05:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [06:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [06:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [06:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [08:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [08:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 14/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [08:00:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 14/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 14/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 14/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 14/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [08:00:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 14/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [08:00:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:40:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:40:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:40:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:40:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:40:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:40:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:40:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:40:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:40:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:40:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [08:40:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:40:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:30:00 14/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 136 rs: Manual st: NotStopd t0: [09:00:00 14/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 14/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [09:00:00 14/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [09:00:00 14/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 14/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [09:00:00 14/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [09:00:00 14/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [09:00:00 14/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 14/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [09:00:00 14/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 14/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [09:00:00 14/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 14/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 14/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [09:00:00 14/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [09:00:00 14/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 14/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 14/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 14/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [09:00:00 14/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 14/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [09:00:00 14/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 14/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [09:00:00 14/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 14/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 14/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [09:00:00 14/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: CoWker v1: 35.8889 u1: Deg. C st: NotStopd t0: [09:00:00 14/11/2010] id: Temperature F el: 0 cu: C-SICU cg: CoWker v1: 96.6 u1: Deg. F st: NotStopd
t0: [08:00:00 14/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: CoWker v1: 35.8889 u1: Deg. C st: NotStopd t0: [08:00:00 14/11/2010] id: Temperature F el: 0 cu: C-SICU cg: CoWker v1: 96.6 u1: Deg. F st: NotStopd
t0: [08:00:00 14/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [09:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [09:00:00 14/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [09:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [09:00:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [09:00:00 14/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 14/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 14/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 14/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [09:00:00 14/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [09:00:00 14/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [09:00:00 14/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 14/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [09:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [09:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [09:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [09:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 14/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [09:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 14/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 14/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 14/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [09:00:00 14/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 14/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 14/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 14/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 14/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 14/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [09:00:00 14/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [10:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [10:00:00 14/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [10:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [23:00:00 14/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 60 ap: none
t0: [10:02:00 14/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [10:02:00 14/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:02:00 14/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [10:02:00 14/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [10:02:00 14/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [10:02:00 14/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [01:25:00 14/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 70 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 544 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1004 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 260 rs: Final st: NotStopd t0: [01:25:00 14/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.5 rs: Final st: NotStopd
pt: TPN
t0: [09:00:00 14/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 14/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 14/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [12:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 14/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 14/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 14/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 14/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 14/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 14/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 14/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 14/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 14/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 14/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 14/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 14/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 14/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 14/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [12:00:00 14/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [12:00:00 14/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 14/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 14/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 14/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 14/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 14/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 14/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 14/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 14/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 14/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 14/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 14/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 14/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 14/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 14/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 14/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 14/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 14/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 14/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 14/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [12:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [12:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [12:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [13:00:00 14/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [13:00:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 14/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [13:00:00 14/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 14/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [13:00:00 14/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [13:00:00 14/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 14/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [13:00:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:00:00 14/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [13:00:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [13:00:00 14/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [13:00:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [13:00:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [14:00:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:00:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [14:00:00 14/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [14:00:00 14/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [14:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [14:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:55:00 14/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [14:55:00 14/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 72.2 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 72.2 rs: Final st: NotStopd
t0: [14:55:00 14/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 35.4 u1: % rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.8 rs: Final st: NotStopd
t0: [14:55:00 14/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 66 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 593 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 351 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 213 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [14:55:00 14/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 64 rs: Final st: NotStopd t0: [14:55:00 14/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 64 rs: Final st: NotStopd
t0: [09:00:00 14/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [09:00:00 14/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 14/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [15:00:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [15:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [15:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [15:00:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 14/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 14/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [16:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 14/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 14/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 14/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 14/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 14/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 14/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 14/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 14/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 14/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 14/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 14/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 14/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 14/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 14/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 14/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 14/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 14/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 14/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 14/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 14/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 14/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 14/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 14/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 14/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 14/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 14/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 14/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 14/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 14/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 14/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 14/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 14/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 14/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 14/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 14/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 14/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [16:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [16:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd
t0: [17:30:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [17:30:00 14/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [17:30:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:30:00 14/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [17:30:00 14/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:30:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:30:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:30:00 14/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:30:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [17:30:00 14/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [17:30:00 14/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:30:00 14/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16 u1: L/min st: NotStopd t0: [17:30:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [17:30:00 14/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [17:30:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [17:30:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [17:30:00 14/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:30:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [17:30:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [17:30:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:30:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 14/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 300 vu: ml nb: 1 t0: [18:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [18:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [18:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 14/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [18:00:00 14/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd
t0: [18:00:00 14/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [17:00:00 14/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:30:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:30:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:30:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:30:00 14/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:30:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [18:30:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [18:30:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:30:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:30:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:30:00 14/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:30:00 14/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:30:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:30:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [18:30:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vu: ml nb: 1
t0: [18:30:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:30:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:30:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:30:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:30:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:30:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [18:30:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:30:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:30:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd
t0: [20:00:00 14/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 14/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 14/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 14/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 14/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 14/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 14/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 14/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 14/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 14/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 14/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 14/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 14/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 14/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [20:00:00 14/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [20:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 14/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 14/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 14/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 14/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [20:00:00 14/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 14/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 14/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 14/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 14/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 14/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 14/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 14/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 14/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 14/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 14/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 14/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 14/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 14/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 14/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 14/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 14/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 14/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 14/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 14/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [20:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [20:00:00 14/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [20:00:00 14/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 25 vu: ml t0: [20:00:00 14/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [20:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN cv: 300 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 50 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1730 ap: none
t0: [20:00:00 14/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [20:00:00 14/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 14/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 14/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 14/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 14/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 14/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [20:00:00 14/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 14/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 14/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 14/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 14/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 14/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 14/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 14/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 502 u1: ml/B st: NotStopd t0: [20:00:00 14/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 14/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 14/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 14/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 14/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 14/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 14/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 14/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 14/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 14/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [22:00:00 14/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [22:00:00 14/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [22:00:00 14/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 14/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [22:00:00 14/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 14/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 14/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 14/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 14/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 14/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 14/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 14/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 14/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 14/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 14/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 14/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 14/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 14/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [22:00:00 14/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [22:00:00 14/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1293 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2400 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3753 ap: none
t0: [20:00:00 14/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [00:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 15/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 15/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 15/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [00:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 15/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 15/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 15/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 15/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Tenacious st: NotStopd t0: [00:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 15/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 15/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 15/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 15/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 15/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 15/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 15/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 15/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 15/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 15/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [23:00:00 14/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 400 vu: ml t0: [00:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [00:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [00:00:00 15/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 15/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 15/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 15/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [00:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 14/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -400 cv: -400 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -400 cv: 823 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 400 cv: 2930 ap: none t0: [23:00:00 14/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN pv: 400 cv: 850 ap: none t0: [23:00:00 14/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -400 cv: 38885.6 ap: carryForward t0: [23:00:00 15/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN cv: 100 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 50 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 15/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 70 cv: 2010 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 70 cv: 2860 ap: carryForward t0: [23:00:00 15/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 700 ap: none
t0: [00:00:00 15/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 100 vu: ml
t0: [00:00:00 15/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [00:00:00 15/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 15/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 15/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 15/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 15/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 15/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [00:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 15/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 15/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 15/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 15/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [00:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [02:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 135 u1: BPM st: NotStopd t0: [02:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [02:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [02:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 2500 ap: none
t0: [02:08:00 15/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:08:00 15/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [02:08:00 15/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [02:08:00 15/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [02:08:00 15/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [02:08:00 15/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd
t0: [02:08:00 15/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:08:00 15/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [02:00:00 15/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 36.9 u1: % rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 158 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 4 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd
t0: [02:00:00 15/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 78.6 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 78.6 rs: Final st: NotStopd
t0: [03:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Tenacious st: NotStopd t0: [03:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [02:00:00 15/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 66 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 654 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 170 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 212 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [02:00:00 15/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15.2 rs: Final st: NotStopd
t0: [03:00:00 15/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [22:00:00 14/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 15/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 15/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 15/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [04:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 15/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 15/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [04:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 15/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 15/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 15/11/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [04:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 15/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [04:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [04:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 15/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [04:00:00 15/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 15/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 15/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 15/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 15/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 15/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [04:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 15/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 15/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [04:00:00 15/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 15/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 15/11/2010] tf: [21:00:00 19/11/2010] dt: 6720 id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [05:00:00 15/11/2010] tf: [07:00:00 17/11/2010] dt: 3000 id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 50 vu: ml t0: [05:00:00 15/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [05:00:00 15/11/2010] tf: [10:00:00 18/11/2010] dt: 4620 id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [06:00:00 15/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 68.4211 u1: units st: NotStopd t0: [06:00:00 15/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 68.4211 u1: units st: NotStopd t0: [06:00:00 15/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [06:00:00 15/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.38 u1: L st: NotStopd
t0: [04:00:00 15/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 15/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:00:00 15/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [04:00:00 15/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [06:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [06:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 15/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [08:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 15/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [08:00:00 15/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 15/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 15/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [08:00:00 15/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 15/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.9 u1: L/min st: NotStopd t0: [08:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 15/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 15/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 15/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [08:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 15/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 15/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 15/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 15/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [08:00:00 15/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 15/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 15/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [08:00:00 15/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 15/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Moderate st: NotStopd t0: [08:00:00 15/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 15/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 15/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 15/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 15/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 15/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 15/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 15/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 15/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 15/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 15/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 15/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [08:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [08:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:34:00 15/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [08:34:00 15/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [08:34:00 15/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [08:17:00 15/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 92.9 rs: Final st: NotStopd t0: [08:17:00 15/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 92.9 rs: Final st: NotStopd
t0: [09:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [10:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [10:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [10:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [09:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [10:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11.5 vu: ml t0: [10:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [09:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN tf: [10:00:00 16/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm tf: [11:00:00 16/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [11:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Flutter st: NotStopd t0: [11:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [11:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [11:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 15/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [12:00:00 15/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 15/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 15/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 15/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 15/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [12:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:00:00 15/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 15/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 15/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [12:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [12:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Flutter st: NotStopd t0: [12:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 15/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [12:00:00 15/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [12:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [12:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 15/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 15/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [12:00:00 15/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [12:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 15/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 15/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Slide Board st: NotStopd t0: [12:00:00 15/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [13:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [13:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd
t0: [13:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [13:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd
t0: [14:09:00 15/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [14:09:00 15/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [14:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 15/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [14:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [14:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 15/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 15/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:00:00 15/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 15/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [15:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd
t0: [14:08:00 15/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 79.2 rs: Final st: NotStopd t0: [14:08:00 15/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 79.2 rs: Final st: NotStopd
t0: [16:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 15/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [16:00:00 15/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 15/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 15/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 15/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [16:00:00 15/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 15/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 15/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [16:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 15/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 15/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [16:00:00 15/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 15/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [16:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [15:00:00 01/12/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Ursodiol v1: 300 u1: mg
t0: [16:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 15/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [16:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 15/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 15/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 15/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 15/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 15/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [16:00:00 15/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [16:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [16:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 15/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 15/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [16:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 15/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 15/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 15/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [16:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 15/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 15/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 15/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 15/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [16:00:00 15/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [16:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [16:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 15/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 15/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 15/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 15/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 15/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 15/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 15/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [16:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [16:00:00 15/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [16:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [17:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [17:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [17:00:00 15/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [17:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [17:00:00 15/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [17:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [17:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 15/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [17:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [17:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 15/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [17:00:00 15/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [17:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [17:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [17:00:00 15/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 15/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [17:00:00 15/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [17:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [17:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [17:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [17:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [17:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 15/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 15/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [17:00:00 15/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 15/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [17:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 15/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 15/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [17:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [17:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [17:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 15/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 15/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [17:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [17:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: CPAP+PS st: NotStopd t0: [17:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [17:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [17:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [17:00:00 15/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [17:00:00 15/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 15/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 15/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 15/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [17:00:00 15/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [17:00:00 15/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [17:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [17:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [18:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [18:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [18:00:00 15/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [18:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [18:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 15/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [18:00:00 15/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [18:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [18:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [18:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 15/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 15/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [18:00:00 15/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [18:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [18:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [18:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [18:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 15/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 15/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 15/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Hand v2: Off st: NotStopd t0: [18:00:00 15/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [18:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 15/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Slide Board st: NotStopd t0: [18:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [18:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [18:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 15/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 15/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [18:00:00 15/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [18:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: CPAP+PS st: NotStopd t0: [18:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 15/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [18:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [18:00:00 15/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 15/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 15/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 15/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 15/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [18:00:00 15/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [18:00:00 15/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [18:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml nb: 1 t0: [18:00:00 15/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [18:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [19:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 15/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 15/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 15/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 15/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 15/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 15/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 15/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 15/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 15/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 15/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 15/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 15/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 15/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [20:00:00 15/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [20:00:00 15/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [20:00:00 15/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 15/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 15/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 15/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 15/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [20:00:00 15/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 15/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 15/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 15/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [20:00:00 15/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [20:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 15/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 15/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 15/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 15/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 15/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 15/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 15/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 15/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 15/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [20:00:00 15/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [20:00:00 15/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 15/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 15/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [20:00:00 15/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [20:00:00 15/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 15/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 15/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 15/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 15/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 15/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 15/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 15/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 15/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 15/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 15/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 15/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 15/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 15/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 15/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 15/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 116 rs: Manual st: NotStopd t0: [20:00:00 15/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 15/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 15/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 15/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 15/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 15/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 15/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 15/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [21:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [21:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:24:00 15/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 119.6 rs: Final st: NotStopd t0: [20:24:00 15/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 119.6 rs: Final st: NotStopd
t0: [21:00:00 15/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 15/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 15/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 15/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 15/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 15/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [21:00:00 15/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Hand v2: Off st: NotStopd t0: [21:00:00 15/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [21:00:00 15/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 15/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 15/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 15/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 15/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 15/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 15/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 15/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [22:00:00 15/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 15/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 40 vu: ml t0: [22:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [22:00:00 15/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 15/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 90 ap: none
t0: [20:00:00 15/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 15/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 15/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [20:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 15/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 15/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 15/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 15/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 15/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 15/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 15/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 15/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [23:00:00 15/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 15/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 15/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 15/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 15/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 15/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 15/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 15/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 15/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 15/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 15/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 15/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 15/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 15/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 15/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [23:00:00 15/11/2010] tf: [15:00:00 23/11/2010] dt: 11040 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1113.5 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 100 cv: 3703.5 ap: none t0: [23:00:00 15/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 30 cv: 843.5 ap: carryForward t0: [23:00:00 15/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 30 cv: 39729.1 ap: carryForward
t0: [00:00:00 16/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 16/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [00:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 16/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 16/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 16/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 16/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 16/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [00:00:00 16/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 16/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [00:00:00 16/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 16/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 16/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 16/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 601 u1: ml/B st: NotStopd t0: [00:00:00 16/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 16/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 16/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 16/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 16/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 16/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 16/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 16/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 16/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 16/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 16/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [00:00:00 16/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 16/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [00:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 16/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 16/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 16/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 16/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 16/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 16/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 16/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 16/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 16/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [00:00:00 16/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [00:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 16/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 50 vu: ml t0: [00:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [00:00:00 16/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [00:00:00 16/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 50 vu: ml t0: [00:00:00 16/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 16/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [00:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2010] dt: 24 id: Drain #4 Total Out el: 3 cu: C-SICU cg: RN cv: 350 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 200 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 16/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 1175 ap: carryForward
t0: [00:00:00 16/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 16/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 16/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 16/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 16/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 16/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 16/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 16/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 16/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 16/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Hand v2: Off st: NotStopd t0: [00:00:00 16/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 16/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 16/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 16/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 16/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [01:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [01:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [01:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 16/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 19 cv: 19 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 9 cv: 811.375 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 2400 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 129 cv: 3591.38 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 110 cv: 2505 ap: none t0: [23:00:00 16/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 19 cv: -638.625 ap: carryForward t0: [23:00:00 16/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 110 cv: 4230 ap: carryForward t0: [23:00:00 16/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 19 cv: 39090.4 ap: carryForward
t0: [02:57:00 16/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:57:00 16/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:57:00 16/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [02:57:00 16/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [02:57:00 16/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:57:00 16/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:57:00 16/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.14 rs: Final st: NotStopd
t0: [02:40:00 16/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 36.1 u1: % rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 161 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.91 u1: /mic l rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.2 rs: Final st: NotStopd
t0: [02:00:00 16/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 16/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 16/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 16/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 16/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 16/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 16/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 16/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [03:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [02:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [03:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [03:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [02:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:40:00 16/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 66 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 70 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 658 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 66 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 195 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd
t0: [04:00:00 16/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 16/11/2010] id: high mv el: 0 cu: C-SICU cg: RRT v1: 22 t0: [04:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 16/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 16/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 16/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 16/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 16/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:00:00 16/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [04:00:00 16/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 16/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 16/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [04:00:00 16/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 16/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 16/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 16/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:00:00 16/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 16/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 16/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 16/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [04:00:00 16/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 16/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 16/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 16/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 16/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 16/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 16/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 16/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 16/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 16/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 16/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 16/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 16/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 16/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 16/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 16/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [04:00:00 16/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [04:00:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 16/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 16/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 16/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 16/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [04:00:00 16/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 16/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 16/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 16/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 16/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Hand v2: Off st: NotStopd t0: [04:00:00 16/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 16/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 16/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [04:00:00 16/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 16/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 16/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 16/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 16/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 16/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 16/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 16/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 16/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 16/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 16/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 16/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 16/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 16/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 100 vu: ml t0: [04:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [04:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [05:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [05:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [04:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 16/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 16/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [05:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:20:00 16/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [04:20:00 16/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:20:00 16/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 84.3 rs: Final st: NotStopd t0: [04:20:00 16/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:20:00 16/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [04:20:00 16/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 84.3 rs: Final st: NotStopd
t0: [06:00:00 16/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 38.9831 u1: units st: NotStopd t0: [06:00:00 16/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 38.9831 u1: units st: NotStopd t0: [06:00:00 16/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [06:00:00 16/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.59 u1: L st: NotStopd
t0: [04:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 16/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 16/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [06:00:00 16/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 40 vu: ml t0: [06:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [06:00:00 16/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [06:00:00 16/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 50 vu: ml t0: [06:00:00 16/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [06:00:00 16/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 225 vu: ml
t0: [06:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 16/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Cuff Pressure-Airway el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Airway Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Airway Type el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 16/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [07:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [07:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [07:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 16/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [07:30:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [07:30:00 16/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [07:30:00 16/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [07:30:00 16/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [07:30:00 16/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Extubated st: NotStopd t0: [08:00:00 16/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 16/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 16/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 16/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 16/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 16/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 16/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 16/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 16/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 16/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [08:00:00 16/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 16/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 16/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 16/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 16/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 16/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 16/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 16/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 16/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 16/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 16/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [07:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:01:00 16/11/2010] id: Responds to Stimuli el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [09:26:00 16/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [09:26:00 16/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:26:00 16/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [09:26:00 16/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [09:26:00 16/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [09:26:00 16/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [08:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 16/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 16/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [09:00:00 16/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Restraint DC'd st: NotStopd t0: [10:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 16/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 16/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [10:00:00 16/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [10:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 16/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [10:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [10:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:30:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [10:30:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:30:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd
tf: [17:00:00 16/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [21:00:00 16/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [10:00:00 16/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [11:00:00 16/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [12:00:00 16/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 16/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 16/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 16/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 16/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 16/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [12:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 16/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 16/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [12:00:00 16/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 16/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 16/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 16/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 16/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 16/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 16/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 16/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 16/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 16/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 16/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 16/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 16/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 16/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 16/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 16/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml
t0: [12:00:00 16/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [12:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
io: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ra: 10 ru: ml/hr
id: Impact w/fiber el: 2 cu: C-SICU cg: RN io: Impact w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 2 cu: C-SICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [08:00:00 16/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 106 rs: Manual st: NotStopd t0: [08:00:00 16/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 106 rs: Manual st: NotStopd t0: [13:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd
t0: [13:00:00 16/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [13:00:00 16/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [13:30:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [13:30:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [13:30:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:30:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:30:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Slide Board st: NotStopd t0: [13:30:00 16/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [13:30:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:30:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [13:30:00 16/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 115 rs: Manual st: NotStopd t0: [14:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 1 u1: torr st: NotStopd t0: [14:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 16/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [14:00:00 16/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [14:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 16/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [14:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 16/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [14:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [14:00:00 16/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [14:00:00 16/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml t0: [14:00:00 16/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [14:00:00 16/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [14:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 240 ap: none
t0: [02:40:00 16/11/2010] id: Direct Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [02:40:00 16/11/2010] id: Direct Bili (0-0.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 11.4 rs: Final st: NotStopd
t0: [14:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 0 vu: ml nb: 1
pt: TPN
t0: [16:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [16:00:00 16/11/2010] tf: [04:00:00 18/11/2010] dt: 2160 id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml
t0: [16:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 16/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [16:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 16/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 16/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [16:00:00 16/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [16:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [16:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 16/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 16/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd
t0: [17:00:00 16/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 16/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 16/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [17:00:00 16/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 16/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [17:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 16/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [17:00:00 16/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [17:00:00 16/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [17:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [17:00:00 16/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 16/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 16/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 16/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 16/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 16/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [17:00:00 16/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [17:00:00 16/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 16/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 16/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [17:00:00 16/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 16/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [17:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 16/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [17:00:00 16/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 16/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 16/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 16/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [17:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 16/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [17:00:00 16/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [17:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [17:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [17:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 10 vu: ml
tf: [17:00:00 16/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [17:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [17:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 16/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 16/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [17:00:00 16/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [17:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/11/2010] tf: [08:00:00 23/11/2010] dt: 9540 id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 2 vu: ml t0: [18:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [18:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [18:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 10 vu: ml
t0: [17:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [19:00:00 16/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 16/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 16/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [19:00:00 16/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [19:00:00 16/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [19:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [19:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 16/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [19:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [19:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [19:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [19:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [19:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [19:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [19:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [19:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd
tf: [19:00:00 16/11/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Ambisome v1: 210 u1: mg m2: D5W v2: 157.5 u2: ml tf: [17:00:00 08/12/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Ambisome v1: 210 u1: mg m2: D5W v2: 157.5 u2: ml
t0: [19:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [19:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [19:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [19:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml nb: 1
t0: [19:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:05:00 16/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [19:05:00 16/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd
t0: [19:05:00 16/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [19:05:00 16/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [19:05:00 16/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 61.4 rs: Final st: NotStopd t0: [19:05:00 16/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [19:05:00 16/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [19:05:00 16/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 61.4 rs: Final st: NotStopd
t0: [20:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [20:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [20:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 16/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Liquid st: NotStopd t0: [20:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml t0: [20:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [20:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [20:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml t0: [20:00:00 16/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [20:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 16/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 72 rs: Manual st: NotStopd t0: [21:00:00 16/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [21:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [21:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [21:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [21:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml
t0: [21:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:15:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 18/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [22:00:00 16/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 16/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [22:00:00 16/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [22:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [22:00:00 16/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 16/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [22:00:00 16/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 16/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 16/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 16/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [22:00:00 16/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 16/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 16/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 16/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 16/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [22:00:00 16/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [22:00:00 16/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 16/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 16/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [22:00:00 16/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [22:00:00 16/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 16/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 16/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 16/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [22:00:00 16/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 16/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 16/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 16/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [22:00:00 16/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [22:00:00 16/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 16/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 16/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 16/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [22:00:00 16/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [22:00:00 16/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 16/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 16/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 16/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [22:00:00 16/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [22:00:00 16/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [22:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.875 vu: ml t0: [22:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [22:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml
t0: [20:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 16/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 16/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 16/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [22:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [22:00:00 16/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [22:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [22:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 16/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 16/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 16/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 16/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 16/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 16/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 16/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 16/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 16/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vu: ml es: Large t0: [22:00:00 16/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 400 vu: ml
t0: [23:00:00 16/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 16/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 16/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 16/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 16/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 16/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 16/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 16/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 16/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [23:00:00 16/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [23:00:00 16/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 16/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 16/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.50189 u1: m2 st: NotStopd t0: [23:00:00 16/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.74692 u1: m2 st: NotStopd t0: [23:00:00 16/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [23:00:00 16/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd
t0: [23:00:00 16/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [23:00:00 16/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [23:00:00 16/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml
t0: [23:00:00 16/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 20 cv: 140 ap: none
t0: [00:00:00 17/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 17/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 17/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 17/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 17/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [00:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [00:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 17/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 17/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [00:00:00 17/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [00:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 17/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 17/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [00:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [00:00:00 17/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 17/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [00:00:00 17/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [00:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [00:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml
t0: [00:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 17/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 17/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 17/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 17/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 17/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 17/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [00:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 17/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 17/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [00:00:00 17/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [01:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [01:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [01:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [01:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml
t0: [01:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [02:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [02:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [02:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [02:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [02:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [02:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 17/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [02:00:00 17/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [01:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [02:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [02:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [02:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml
t0: [02:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1835 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2560 ap: carryForward
t0: [02:20:00 17/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.2 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.2 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 37.5 u1: % rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 172 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 4.06 u1: /mic l rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.2 rs: Final st: NotStopd
t0: [02:20:00 17/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 714 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 219 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd
t0: [03:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [03:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 150 vu: ml t0: [03:00:00 17/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 100 vu: ml t0: [03:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [03:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [03:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml
t0: [03:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 917 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2300 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 4507 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1110 ap: none t0: [23:00:00 17/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 1947 ap: carryForward t0: [23:00:00 17/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 41037.4 ap: carryForward
t0: [02:20:00 17/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd
t0: [02:20:00 17/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 63.7 rs: Final st: NotStopd t0: [02:20:00 17/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 63.7 rs: Final st: NotStopd
t0: [02:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: Done t0: [04:00:00 17/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 17/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 17/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 17/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 17/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [04:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [04:00:00 17/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 17/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 17/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 17/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 17/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 17/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 17/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [04:00:00 17/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [04:00:00 17/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 17/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [04:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 17/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 17/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [04:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [04:00:00 17/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 17/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [04:00:00 17/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 17/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 17/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 17/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 17/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 17/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 17/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 17/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 17/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 17/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [04:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [04:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml
t0: [04:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 17/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 17/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [04:00:00 17/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd
t0: [05:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [05:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [05:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 17/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [05:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [07:00:00 17/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [06:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [06:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [07:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [07:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [07:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [07:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [06:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [06:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [06:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [06:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [06:00:00 17/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [07:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 17/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 17/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 17/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [07:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [07:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [07:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [07:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [07:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [07:00:00 17/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [07:00:00 17/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [05:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [05:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [05:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [06:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [06:00:00 17/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [06:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [06:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [07:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [07:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [07:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [07:00:00 17/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vu: ml t0: [07:00:00 17/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 350 vu: ml
t0: [06:00:00 17/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 17/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Expectorated v2: Small st: NotStopd
t0: [08:25:00 17/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [08:25:00 17/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [08:25:00 17/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [07:57:00 17/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 60.3 rs: Final st: NotStopd t0: [07:57:00 17/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 60.3 rs: Final st: NotStopd
t0: [07:57:00 17/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [07:57:00 17/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [08:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [08:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [10:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [10:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v2: Doppler st: NotStopd t0: [10:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [10:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 17/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [10:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 17/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [10:00:00 17/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [10:00:00 17/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [10:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [10:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 17/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [10:00:00 17/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [10:00:00 17/11/2010] id: Position Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [10:00:00 17/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [10:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [10:00:00 17/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [10:00:00 17/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [08:00:00 17/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 17/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [08:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 17/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 17/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 17/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v2: Intact st: NotStopd t0: [08:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 17/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 17/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 17/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:25:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:25:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:25:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:25:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:25:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:25:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:25:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:25:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [08:25:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:25:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [08:25:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:25:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:25:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 17/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [10:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [10:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [10:00:00 17/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [10:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [10:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [10:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd
t0: [08:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [08:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [08:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [09:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [09:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [09:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [10:00:00 17/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 15 vu: ml t0: [10:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [10:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [10:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml
t0: [08:25:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 18/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [11:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [11:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [11:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [11:00:00 17/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [11:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [11:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml
t0: [11:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:15:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [12:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [12:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [12:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [12:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml
t0: [12:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/11/2010] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [11:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:15:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:15:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [11:15:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [11:15:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 17/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 17/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 17/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [09:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [09:00:00 17/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [09:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 17/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [10:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [10:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [10:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [10:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [10:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [10:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [10:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [10:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 4 Confused st: NotStopd t0: [11:00:00 17/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [11:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [11:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [11:00:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [11:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 17/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Confused st: NotStopd t0: [12:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd
t0: [12:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [12:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 4 Confused st: NotStopd
t0: [13:30:00 17/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:30:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:30:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:30:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:30:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:30:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:30:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [13:30:00 17/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [13:30:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:30:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [13:30:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [13:30:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [13:30:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [13:30:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [13:30:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:30:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:30:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:30:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [13:30:00 17/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [13:30:00 17/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:30:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:30:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [13:30:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:30:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [13:30:00 17/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [13:30:00 17/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [13:30:00 17/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [13:30:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 17/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Confused st: NotStopd
t0: [13:30:00 17/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [13:30:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
id: Albumin 25% el: 2 cu: C-SICU cg: RN io: Albumin 25% Tube Feeding du: ml rt: Intravenous Push
t0: [14:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [14:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 100 vu: ml t0: [14:00:00 17/11/2010] tf: [15:00:00 30/11/2010] dt: 18780 id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: RN ai: 128 vo: 50 vu: ml
t0: [23:00:00 17/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 50 ap: none
t0: [13:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [13:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [13:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:30:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [13:30:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [13:30:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [13:30:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [13:30:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [14:00:00 17/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 17/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [14:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [14:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [14:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 17/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [14:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [14:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [14:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN st: NotStopd t0: [14:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [14:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [14:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 4 Confused st: NotStopd t0: [14:00:00 17/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 126 rs: Manual st: NotStopd t0: [15:00:00 17/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [15:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [14:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [14:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [14:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 17/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vu: ml t0: [14:00:00 17/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml
t0: [14:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 130 ap: none
t0: [16:00:00 17/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 17/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [16:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 17/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [16:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 17/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 17/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 17/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 17/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [16:00:00 17/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 17/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [16:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [16:00:00 17/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [16:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [16:00:00 17/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [16:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [16:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [16:00:00 17/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [16:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 17/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 17/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 17/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 17/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 17/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 17/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 17/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 17/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [17:00:00 17/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [17:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [17:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [17:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [17:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [16:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [17:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [17:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [17:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [16:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 17/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 17/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [16:00:00 17/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 17/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 17/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [17:00:00 17/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [18:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [18:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 17/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [18:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [18:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [18:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 17/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [18:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [18:00:00 17/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 17/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Children st: NotStopd t0: [18:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [19:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [19:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [19:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [19:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [19:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [19:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [19:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [19:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [19:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [19:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [19:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml
t0: [18:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 22/11/2010] pt: Unit Dose rt: IV fr: Q4H fs: 12, 16, 20, 0, 4, 8 dn: 6 m1: Metoprolol v1: 10 u1: mg
t0: [19:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 17/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 17/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 17/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [20:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [20:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [21:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 17/11/2010] id: CVP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [22:00:00 17/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 17/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [22:00:00 17/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [22:00:00 17/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 17/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [22:00:00 17/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Strong/Palpable st: NotStopd t0: [22:00:00 17/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 17/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 17/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [22:00:00 17/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [22:00:00 17/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 17/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 17/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [22:00:00 17/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 17/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 17/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 17/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 129 u1: BPM st: NotStopd t0: [22:00:00 17/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 17/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 17/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [22:00:00 17/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 17/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [22:00:00 17/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 17/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [22:00:00 17/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [22:00:00 17/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 17/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 17/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [22:00:00 17/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [22:00:00 17/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [22:00:00 17/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [22:00:00 17/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 17/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [22:00:00 17/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [22:00:00 17/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 17/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [22:00:00 17/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 17/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 17/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [22:00:00 17/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 17/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 17/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 123 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [22:00:00 17/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [22:00:00 17/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 17/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Absent st: NotStopd t0: [22:00:00 17/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 17/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 17/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 17/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [22:00:00 17/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [22:00:00 17/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [22:00:00 17/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 17/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 17/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 17/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 17/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 17/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 17/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 17/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 17/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 17/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 17/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 17/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 4 Confused st: NotStopd t0: [22:00:00 17/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 17/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 17/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 17/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [22:00:00 17/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 17/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [22:00:00 17/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [21:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [21:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [21:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [22:00:00 17/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [22:00:00 17/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [22:00:00 17/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: RN vo: 25 vu: ml
t0: [20:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 725 ap: none
t0: [00:00:00 18/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 126 vo: 0 st: D/C'd
tf: [23:00:00 18/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Diphenhydramine HCl v1: 25 u1: mg
t0: [22:00:00 17/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 67 rs: Manual st: NotStopd t0: [00:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 18/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [00:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 18/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [00:00:00 18/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 18/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [00:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [00:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [00:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [00:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [00:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [00:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml st: Stopped t0: [00:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 18/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml
t0: [00:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:25:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [01:25:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [01:25:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [01:25:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [01:25:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [01:25:00 18/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd
t0: [01:22:00 18/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 40.9 u1: % rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.2 u1: gm/dl rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 4.33 u1: /mic l rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd
t0: [01:25:00 18/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [01:25:00 18/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd
t0: [00:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [01:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [01:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [01:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [01:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 1 u1: torr st: NotStopd t0: [01:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [01:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [01:00:00 18/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [01:00:00 18/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [01:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [01:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [01:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:25:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg rs: Final st: NotStopd
t0: [01:00:00 18/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 200 vu: ml nb: 1 t0: [01:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [01:00:00 18/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [01:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 18/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 103.6 u1: kg st: NotStopd t0: [01:22:00 18/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 62.7 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 62.7 rs: Final st: NotStopd
t0: [00:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 18/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [02:00:00 18/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [02:00:00 18/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 18/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [02:00:00 18/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 18/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [02:00:00 18/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [02:00:00 18/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 18/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [02:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 18/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 18/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 18/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 18/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [02:00:00 18/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [02:00:00 18/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [02:00:00 18/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 18/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 18/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [02:00:00 18/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 18/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [02:00:00 18/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [02:00:00 18/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 18/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [02:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 18/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [02:00:00 18/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 18/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:00:00 18/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [02:00:00 18/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [02:00:00 18/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 18/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [02:00:00 18/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Dyspneic st: NotStopd t0: [02:00:00 18/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 18/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 18/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Children st: NotStopd t0: [02:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 18/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 18/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 18/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 4 Confused st: NotStopd t0: [02:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [02:00:00 18/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [02:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:17:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:17:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:17:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:17:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:17:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [02:17:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [01:22:00 18/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 836 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [01:22:00 18/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd
t0: [01:30:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:30:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Scant st: NotStopd t0: [02:30:00 18/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [03:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [03:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [03:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [03:00:00 18/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [03:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 420 cv: 420 ap: none t0: [23:00:00 18/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -110.812 cv: -110.812 ap: none t0: [23:00:00 18/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 159.188 cv: 8248.81 ap: none t0: [23:00:00 18/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 309.188 cv: 9958.81 ap: none t0: [23:00:00 18/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 360 ap: none t0: [23:00:00 18/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 420 cv: 3250 ap: none t0: [23:00:00 18/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -110.812 cv: 6608.81 ap: carryForward t0: [23:00:00 18/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 420 cv: 3350 ap: carryForward t0: [23:00:00 18/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -110.812 cv: 47646.2 ap: carryForward
tf: [02:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [02:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [03:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:30:00 18/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [03:30:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:30:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:30:00 18/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [03:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [03:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [03:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [03:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm
id: Albumin 5% el: 3 cu: C-SICU cg: RN io: Albumin 5% IV Infusions du: ml rt: Intravenous Push
t0: [02:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 18/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 18/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 18/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 18/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 18/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 18/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 18/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [04:00:00 18/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [04:00:00 18/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 18/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [04:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Children st: NotStopd t0: [04:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 34.6667 u1: Deg. C st: NotStopd t0: [04:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 94.4 u1: Deg. F st: NotStopd t0: [04:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 18/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 18/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 18/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 18/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 18/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 18/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 18/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [04:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [04:00:00 18/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml st: Stopped t0: [04:00:00 18/11/2010] tf: [15:00:00 30/11/2010] dt: 17940 id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml
t0: [04:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [05:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 1 u1: torr st: NotStopd t0: [05:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [05:00:00 18/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [05:00:00 18/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [05:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [05:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 18/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [05:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml
t0: [05:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [06:00:00 18/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [06:00:00 18/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [06:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 18/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 18/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 18/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 18/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 18/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 18/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 18/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [06:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 18/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [06:00:00 18/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [06:00:00 18/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [06:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [06:00:00 18/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [06:00:00 18/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 18/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 18/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [06:00:00 18/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [06:00:00 18/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Dyspneic st: NotStopd t0: [06:00:00 18/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 90 u1: % st: NotStopd t0: [06:00:00 18/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 18/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [06:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 34.7222 u1: Deg. C st: NotStopd t0: [06:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 94.5 u1: Deg. F st: NotStopd t0: [06:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 18/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [06:00:00 18/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 18/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 2 Incomp sounds st: NotStopd t0: [06:00:00 18/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [06:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml
t0: [06:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:34:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [06:34:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [06:34:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [06:34:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 145 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd
id: Levophed-k el: 200 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
tf: [08:00:00 18/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 7, 19 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
id: D5W el: 2 cu: C-SICU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:00:00 18/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [07:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [07:00:00 18/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 18/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [07:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [07:00:00 18/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 661 u1: ml/B st: NotStopd t0: [07:00:00 18/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:00:00 18/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 18/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 18/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd t0: [07:05:00 18/11/2010] id: BSA el: 1033 cu: C-SICU cg: -1 v1: 2.14119 u1: m2 t0: [07:05:00 18/11/2010] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 90 u1: kg t0: [07:05:00 18/11/2010] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [07:05:00 18/11/2010] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: RUPTURED AAA t0: [07:05:00 18/11/2010] id: Service el: 1026 cu: C-SICU cg: -1 v1: VSU t0: [07:05:00 18/11/2010] id: Admit Ht el: 1034 cu: C-SICU cg: -1 v1: 71 u1: inches t0: [07:05:00 18/11/2010] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [07:05:00 18/11/2010] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [07:05:00 18/11/2010] id: Religion el: 1000 cu: C-SICU cg: -1 v1: NSP t0: [07:05:00 18/11/2010] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [07:05:00 18/11/2010] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [07:05:00 18/11/2010] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [07:05:00 18/11/2010] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
t0: [07:00:00 18/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 43.75 u1: ml/cmH st: NotStopd t0: [07:00:00 18/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 18/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [07:00:00 18/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 18/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [07:00:00 18/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [07:00:00 18/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [07:00:00 18/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 18/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [07:00:00 18/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [07:00:00 18/11/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [07:00:00 18/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [07:00:00 18/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [07:00:00 18/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 18/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd
t0: [07:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [07:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [07:30:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [07:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [07:30:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [07:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [07:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [07:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [07:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:30:00 18/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [07:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:30:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 34.8333 u1: Deg. C st: NotStopd t0: [07:30:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 94.7 u1: Deg. F st: NotStopd t0: [07:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml
t0: [07:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:45:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:45:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:45:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:45:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [07:45:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:45:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [07:45:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [07:45:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [07:45:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [07:45:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:45:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [07:45:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:45:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:45:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [08:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [08:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [08:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [08:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 18/11/2010] tf: [23:00:00 18/11/2010] dt: 930 id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
io: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 125 ru: ml/hr
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [08:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [08:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.44544 u1: kg x m st: NotStopd t0: [08:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [08:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.596 u1: g * m st: NotStopd t0: [08:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [08:00:00 18/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [08:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.05088 u1: kg * m st: NotStopd t0: [08:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.957944 u1: ... st: NotStopd t0: [08:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.692 u1: g * m st: NotStopd t0: [08:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.1402 u1: g*m/m2 st: NotStopd t0: [08:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [08:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1000 u1: ... st: NotStopd t0: [08:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2139.92 u1: ... st: NotStopd t0: [08:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.7368 u1: ml st: NotStopd t0: [08:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [08:05:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [08:05:00 18/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [08:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd
t0: [08:15:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:15:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:15:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:15:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:15:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:15:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [08:15:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:15:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 96 t0: [08:15:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.75728 u1: kg x m st: NotStopd t0: [08:15:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 45.7776 u1: g * m st: NotStopd t0: [08:15:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.4953 u1: g*m/m2 st: NotStopd t0: [08:15:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [08:15:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [08:15:00 18/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:15:00 18/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 75.4717 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: PVRI el: 0 cu: C-SICU cg: RN v1: 161.29 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:15:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:15:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:15:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [08:15:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.4416 u1: kg * m st: NotStopd t0: [08:15:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.672897 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 13.872 u1: g * m st: NotStopd t0: [08:15:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 6.49533 u1: g*m/m2 st: NotStopd t0: [08:15:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:15:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 739.623 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1580.65 u1: ... st: NotStopd t0: [08:15:00 18/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [08:15:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.9615 u1: ml st: NotStopd t0: [08:15:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 78 u1: % st: NotStopd t0: [08:15:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [07:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml nb: 1
t0: [08:15:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [08:30:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [08:30:00 18/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [08:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [08:30:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:30:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [08:30:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [08:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 18/11/2010] tf: [00:00:00 19/11/2010] dt: 960 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 27 vu: ml
t0: [08:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Flat in Bed st: NotStopd t0: [07:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [07:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [07:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [07:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [08:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 18/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 18/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 18/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [08:45:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:45:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:45:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:45:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:45:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:45:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:45:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:45:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.5352 u1: kg x m st: NotStopd t0: [08:45:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.3456 u1: g * m st: NotStopd t0: [08:45:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [08:45:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [08:45:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [08:45:00 18/11/2010] id: PVR el: 0 cu: C-SICU cg: RN v1: 189.091 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:45:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:45:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:45:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [08:45:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.0944 u1: kg * m st: NotStopd t0: [08:45:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.976636 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.5632 u1: g * m st: NotStopd t0: [08:45:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.62617 u1: g*m/m2 st: NotStopd t0: [08:45:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:45:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 887.273 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1898.83 u1: ... st: NotStopd t0: [08:45:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:45:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.9216 u1: ml st: NotStopd t0: [08:45:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 78 u1: % st: NotStopd t0: [08:45:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:45:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [08:45:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:45:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd
tf: [08:00:00 19/11/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [08:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm tf: [08:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm tf: [19:00:00 23/11/2010] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Fentanyl Citrate v1: 12.5-25 u1: mcg tf: [21:00:00 31/12/2010] pt: Unit Dose rt: IV fr: TID:PRN m1: Haloperidol v1: 2 u1: mg
t0: [09:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [09:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [09:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 77 u1: % st: NotStopd t0: [09:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [09:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [09:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [09:00:00 18/11/2010] tf: [21:17:00 07/12/2010] dt: 28097 id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [09:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 22.7812 vu: ml
t0: [09:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 18/11/2010] id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: RN ai: 128 vo: 50 vu: ml
t0: [09:45:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:45:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [09:45:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:45:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [09:45:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:45:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [09:45:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [09:45:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:45:00 18/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [09:45:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:45:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:45:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 18/11/2010] id: Drain Out #2 Other el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
pt: TPN
t0: [09:00:00 18/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [09:00:00 18/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [09:00:00 18/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [09:00:00 18/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [09:00:00 18/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [09:00:00 18/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 18/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [09:00:00 18/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 18/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [09:00:00 18/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [09:00:00 18/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 18/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 18/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 18/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 18/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [09:00:00 18/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 18/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [09:00:00 18/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [09:00:00 18/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 18/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 18/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 18/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [09:00:00 18/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 18/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 18/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 18/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:45:00 18/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Ultrasound st: NotStopd t0: [10:00:00 18/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 18/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [10:00:00 18/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [10:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 18/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 18/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [10:00:00 18/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [10:00:00 18/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 18/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.14352 u1: kg x m st: NotStopd t0: [10:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [10:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.2784 u1: g * m st: NotStopd t0: [10:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: g*m/m2 st: NotStopd t0: [10:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [10:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [10:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.90808 u1: kg * m st: NotStopd t0: [10:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.892523 u1: ... st: NotStopd t0: [10:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.3936 u1: g * m st: NotStopd t0: [10:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.06542 u1: g*m/m2 st: NotStopd t0: [10:00:00 18/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 18/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 18/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 18/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [10:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 708.197 u1: ... st: NotStopd t0: [10:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1515.79 u1: ... st: NotStopd t0: [10:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 18/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.2449 u1: ml st: NotStopd t0: [10:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Children st: NotStopd t0: [10:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [10:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [10:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [10:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 18/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [10:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 18/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 18/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 18/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 18/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [10:00:00 18/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [10:00:00 18/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [10:00:00 18/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [09:45:00 18/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml t0: [10:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [10:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [10:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml
t0: [10:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:30:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [10:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 91 t0: [10:30:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.44096 u1: kg x m st: NotStopd t0: [10:30:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [10:30:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.3776 u1: g * m st: NotStopd t0: [10:30:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [10:30:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [10:30:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [10:30:00 18/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Cultured st: NotStopd t0: [10:30:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.26304 u1: kg * m st: NotStopd t0: [10:30:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.05607 u1: ... st: NotStopd t0: [10:30:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.8624 u1: g * m st: NotStopd t0: [10:30:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.76636 u1: g*m/m2 st: NotStopd t0: [10:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:30:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [10:30:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 750 u1: ... st: NotStopd t0: [10:30:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1605.35 u1: ... st: NotStopd t0: [10:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.2593 u1: ml st: NotStopd t0: [10:30:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [10:30:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:30:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [10:30:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [10:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [08:00:00 18/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 50 vu: ml nb: 1
t0: [10:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.065 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:56:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [10:56:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:56:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [10:56:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [10:56:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [10:56:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
tf: [10:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm tf: [15:00:00 19/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
t0: [11:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [11:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 78 t0: [11:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.4672 u1: kg x m st: NotStopd t0: [11:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [11:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 51.408 u1: g * m st: NotStopd t0: [11:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: g*m/m2 st: NotStopd t0: [11:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [11:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [11:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.00464 u1: kg * m st: NotStopd t0: [11:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.934579 u1: ... st: NotStopd t0: [11:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.8496 u1: g * m st: NotStopd t0: [11:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.78505 u1: g*m/m2 st: NotStopd t0: [11:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [11:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 549.254 u1: ... st: NotStopd t0: [11:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1175.72 u1: ... st: NotStopd t0: [11:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.6168 u1: ml st: NotStopd t0: [11:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [11:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [11:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [11:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [11:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.065 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:35:00 18/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33.4 u1: % rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 214 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.59 u1: /mic l rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.9 rs: Final st: NotStopd
t0: [10:35:00 18/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 82 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 151 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 643 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 70 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [10:35:00 18/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 84.9 rs: Final st: NotStopd t0: [10:35:00 18/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 84.9 rs: Final st: NotStopd
t0: [12:00:00 18/11/2010] id: INV Line#4 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 18/11/2010] id: INV Line#4SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 18/11/2010] id: INV#4 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 18/11/2010] id: Inc Drainage/Amt #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 18/11/2010] id: Inc Dsg/Status #2 el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [14:00:00 25/11/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
t0: [10:35:00 18/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 10 rs: Final st: NotStopd
t0: [12:00:00 18/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [12:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 18/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 18/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 18/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 18/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 18/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.7 u1: L/min st: NotStopd t0: [12:00:00 18/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 18/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [12:00:00 18/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 18/11/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 18/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 18/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 643 u1: ml/B st: NotStopd t0: [12:00:00 18/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 18/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 18/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 18/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 18/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 18/11/2010] id: INV#4Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [12:00:00 18/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 18/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 18/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 18/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 18/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 18/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 18/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [12:00:00 18/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 18/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 18/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 18/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 18/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 18/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 18/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 18/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [12:00:00 18/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 94 t0: [12:00:00 18/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#4 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 4 st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 18/11/2010] id: INV Line#4InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 18/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 18/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 18/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 18/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 18/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 18/11/2010] id: Incision/Wound #2 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 19 st: NotStopd t0: [12:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.14544 u1: kg x m st: NotStopd t0: [12:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [12:00:00 18/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 70.448 u1: g * m st: NotStopd t0: [12:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: g*m/m2 st: NotStopd t0: [12:00:00 18/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 18/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 18/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 18/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 18/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [12:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 18/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 18/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 18/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 18/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [12:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.31744 u1: kg * m st: NotStopd t0: [12:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08411 u1: ... st: NotStopd t0: [12:00:00 18/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [12:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [12:00:00 18/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 18/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 18/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 18/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 18/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [12:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 664.789 u1: ... st: NotStopd t0: [12:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1421.69 u1: ... st: NotStopd t0: [12:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 18/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 70.297 u1: ml st: NotStopd t0: [12:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Children st: NotStopd t0: [12:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [12:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [12:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 18/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 18/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 18/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 18/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 18/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 18/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 18/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 18/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 18/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [11:00:00 18/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [11:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [11:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [11:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 22.7812 vu: ml
t0: [12:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.055 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd
t0: [12:45:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:45:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:45:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:45:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:45:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:45:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [12:45:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:45:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [12:45:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [12:45:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:45:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:45:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:45:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [12:45:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:45:00 18/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [12:45:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:45:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [12:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [12:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 21.9375 vu: ml
t0: [12:45:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 18/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 18/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 18/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [12:00:00 18/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [12:00:00 18/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: Off st: NotStopd
t0: [12:30:00 18/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml
t0: [23:00:00 18/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 800 ap: none
tf: [17:00:00 18/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [12:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm
t0: [13:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [13:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [13:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.37296 u1: kg x m st: NotStopd t0: [13:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [13:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.8672 u1: g * m st: NotStopd t0: [13:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [13:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [13:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [13:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.78256 u1: kg * m st: NotStopd t0: [13:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.29907 u1: ... st: NotStopd t0: [13:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.1392 u1: g * m st: NotStopd t0: [13:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [13:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [13:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 630.303 u1: ... st: NotStopd t0: [13:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1350.65 u1: ... st: NotStopd t0: [13:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.2642 u1: ml st: NotStopd t0: [13:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [13:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [13:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [13:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [13:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [13:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 18.9844 vu: ml
t0: [13:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.055 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:15:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:15:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [13:15:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:15:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [13:15:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [13:15:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:15:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:15:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:15:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [13:15:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:15:00 18/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [13:15:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:15:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:22:00 18/11/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: 3161 v1: 5 rs: Final st: NotStopd
t0: [01:22:00 18/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [13:47:00 18/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 rs: Final st: NotStopd
t0: [14:00:00 18/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 18/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.5514 u1: ... st: NotStopd t0: [14:00:00 18/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.13184 u1: kg x m st: NotStopd t0: [14:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [14:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.4416 u1: g * m st: NotStopd t0: [14:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [14:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [14:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [14:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.99744 u1: kg * m st: NotStopd t0: [14:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.40187 u1: ... st: NotStopd t0: [14:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.1856 u1: g * m st: NotStopd t0: [14:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.6449 u1: g*m/m2 st: NotStopd t0: [14:00:00 18/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 18/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 18/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 18/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 18/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: ... st: NotStopd t0: [14:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 547.368 u1: ... st: NotStopd t0: [14:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1171.83 u1: ... st: NotStopd t0: [14:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 73.7864 u1: ml st: NotStopd t0: [14:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [14:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [14:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [14:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.6 u1: L/min st: NotStopd
t0: [14:00:00 18/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [14:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 19.8281 vu: ml
t0: [14:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.055 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [14:00:00 18/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [08:00:00 07/12/2010] pt: Unit Dose rt: PO fr: QID:PRN m1: Nystatin Oral Suspension v1: 5 u1: ml
t0: [14:30:00 18/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 54 rs: Manual st: NotStopd
t0: [14:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [14:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:30:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [14:30:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [14:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [14:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [15:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [15:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [15:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 86 t0: [15:00:00 18/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [15:00:00 18/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [15:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.34672 u1: kg x m st: NotStopd t0: [15:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [15:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 76.4864 u1: g * m st: NotStopd t0: [15:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: g*m/m2 st: NotStopd t0: [15:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [15:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [15:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.77984 u1: kg * m st: NotStopd t0: [15:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.29907 u1: ... st: NotStopd t0: [15:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.9408 u1: g * m st: NotStopd t0: [15:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.5047 u1: g*m/m2 st: NotStopd t0: [15:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.514 u1: ... st: NotStopd t0: [15:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 624.658 u1: ... st: NotStopd t0: [15:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1337.24 u1: ... st: NotStopd t0: [15:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 76.0417 u1: ml st: NotStopd t0: [15:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [15:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [15:00:00 18/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [15:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [15:00:00 18/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [15:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [15:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [15:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 17.7188 vu: ml
t0: [15:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Dextrose 50% v1: 12.5 u1: gm
t0: [15:00:00 18/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 68 rs: Manual st: NotStopd
t0: [15:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd
id: Propofol el: 300 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: C-SICU cg: RN ra: 32.4 ru: ml/hr
id: N/A el: 3 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: Dextrose 10% el: 2 cu: C-SICU cg: RN io: Dextrose 10% IV Infusions du: ml rt: Intravenous Push
t0: [16:00:00 18/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.27103 u1: ... st: NotStopd t0: [16:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 18/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Other Remarks st: NotStopd t0: [16:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [16:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [16:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 85 t0: [16:00:00 18/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 18/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.188 u1: kg x m st: NotStopd t0: [16:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [16:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.416 u1: g * m st: NotStopd t0: [16:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [16:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [16:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [16:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [16:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.5704 u1: kg * m st: NotStopd t0: [16:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.20093 u1: ... st: NotStopd t0: [16:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.1728 u1: g * m st: NotStopd t0: [16:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.7103 u1: g*m/m2 st: NotStopd t0: [16:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: ... st: NotStopd t0: [16:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 537.143 u1: ... st: NotStopd t0: [16:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1149.85 u1: ... st: NotStopd t0: [16:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 73.6842 u1: ml st: NotStopd t0: [16:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [16:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [16:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [16:00:00 18/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [16:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 56 rs: Manual st: NotStopd t0: [16:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [16:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [16:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 16.875 vu: ml
t0: [16:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:15:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:15:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [16:15:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:15:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:15:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:15:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [16:15:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:15:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:15:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:15:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:15:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [16:15:00 18/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:15:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:15:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:15:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [16:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [16:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [16:30:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [16:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [16:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [16:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/11/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: C-SICU cg: RN ai: 126 vo: 0 vu: ml nb: 1 t0: [16:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 0 vu: ml nb: 1
t0: [16:15:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 18/11/2010] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [16:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Dextrose 50% v1: 12.5 u1: gm tf: [16:00:00 19/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Dextrose 50% v1: 25 u1: gm
t0: [17:00:00 18/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 23.3333 u1: ml/cmH st: NotStopd t0: [17:00:00 18/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 18/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [17:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 18/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 18/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 18/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 18/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 18/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 18/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 18/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [17:00:00 18/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 18/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 18/11/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 18/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [17:00:00 18/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 725 u1: ml/B st: NotStopd t0: [17:00:00 18/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [17:00:00 18/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 18/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 18/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [17:40:00 18/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [17:40:00 18/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [15:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [17:00:00 18/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [17:00:00 18/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [17:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [17:00:00 18/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 18/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [17:00:00 18/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [17:00:00 18/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 18/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 18/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [17:00:00 18/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 18/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 18/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 18/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [17:00:00 18/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 18/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 18/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 18/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [17:00:00 18/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [17:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 88 t0: [17:00:00 18/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 18/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 18/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 18/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [17:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.65176 u1: kg x m st: NotStopd t0: [17:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [17:00:00 18/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [17:00:00 18/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 18/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.5392 u1: g * m st: NotStopd t0: [17:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [17:00:00 18/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 18/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 18/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [17:00:00 18/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [17:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [17:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 18/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [17:00:00 18/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 18/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 18/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 18/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 18/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [17:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.00696 u1: kg * m st: NotStopd t0: [17:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.40654 u1: ... st: NotStopd t0: [17:00:00 18/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [17:00:00 18/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 18/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.7232 u1: g * m st: NotStopd t0: [17:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.4112 u1: g*m/m2 st: NotStopd t0: [17:00:00 18/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 18/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 18/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 18/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 18/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 18/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 18/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [17:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [17:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 608.955 u1: ... st: NotStopd t0: [17:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1303.51 u1: ... st: NotStopd t0: [17:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 18/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 18/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 18/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.4231 u1: ml st: NotStopd t0: [17:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Children st: NotStopd t0: [17:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [17:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [17:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 18/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 18/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 18/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 18/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 18/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Blanket v2: On st: NotStopd t0: [17:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 18/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [17:00:00 18/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 18/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 18/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 18/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 18/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 18/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [17:00:00 18/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [17:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 18/11/2010] tf: [18:00:00 18/11/2010] dt: 60 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: C-SICU cg: RN ai: 126 vo: 32.4 vu: ml t0: [17:00:00 18/11/2010] tf: [04:00:00 19/11/2010] dt: 660 id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [17:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [17:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 24.4688 vu: ml t0: [17:00:00 18/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [16:00:00 18/11/2010] tf: [19:00:00 18/11/2010] dt: 180 id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
tf: [06:00:00 19/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [15:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:15:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:15:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:15:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:15:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:15:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [17:15:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [17:15:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:15:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:15:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:15:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [17:15:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:15:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:45:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:45:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:45:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:45:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [17:45:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [17:45:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:45:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:45:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:45:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [17:45:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:45:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 18/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [18:00:00 18/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 18/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 18/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [18:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [18:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [18:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 18/11/2010] tf: [13:00:00 19/11/2010] dt: 1140 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [18:00:00 18/11/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: C-SICU cg: RN ai: 126 vo: 0 vu: ml t0: [18:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [18:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [18:00:00 18/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vu: ml nb: 1 t0: [18:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [18:00:00 18/11/2010] tf: [09:00:00 20/11/2010] dt: 2340 id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [17:15:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.065 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:15:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:15:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.055 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:45:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 100 ap: none
t0: [17:15:00 18/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [17:15:00 18/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [17:45:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [18:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.84352 u1: kg x m st: NotStopd t0: [18:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [18:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.384 u1: g * m st: NotStopd t0: [18:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [18:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.312 u1: kg * m st: NotStopd t0: [18:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07944 u1: ... st: NotStopd t0: [18:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.4 u1: g * m st: NotStopd t0: [18:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.53271 u1: g*m/m2 st: NotStopd t0: [18:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [18:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 682.353 u1: ... st: NotStopd t0: [18:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1459.12 u1: ... st: NotStopd t0: [18:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.177 u1: ml st: NotStopd t0: [18:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [18:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [18:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [18:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd t0: [18:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:30:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [18:30:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [18:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [18:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:15:00 18/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 36.8 rs: Final st: NotStopd t0: [17:15:00 18/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 36.8 rs: Final st: NotStopd
t0: [17:15:00 18/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 34.9 u1: % rs: Final st: NotStopd
t0: [19:00:00 18/11/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: C-SICU cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [17:15:00 18/11/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [19:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [19:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [19:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 89 t0: [19:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.56064 u1: kg x m st: NotStopd t0: [19:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [19:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 64.6272 u1: g * m st: NotStopd t0: [19:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [19:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [19:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [19:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [19:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.36912 u1: kg * m st: NotStopd t0: [19:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.10748 u1: ... st: NotStopd t0: [19:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.3376 u1: g * m st: NotStopd t0: [19:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [19:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [19:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 704.478 u1: ... st: NotStopd t0: [19:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1507.99 u1: ... st: NotStopd t0: [19:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.6863 u1: ml st: NotStopd t0: [19:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [19:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd t0: [20:00:00 18/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 18/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [20:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 92 t0: [20:00:00 18/11/2010] id: INV Line#4 Type/Site el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.00128 u1: kg x m st: NotStopd t0: [20:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.27103 u1: ... st: NotStopd t0: [20:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 74.256 u1: g * m st: NotStopd t0: [20:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.5794 u1: g*m/m2 st: NotStopd t0: [20:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [20:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [20:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 18/11/2010] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [20:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.6928 u1: kg * m st: NotStopd t0: [20:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.25701 u1: ... st: NotStopd t0: [20:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.56 u1: g * m st: NotStopd t0: [20:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.3645 u1: g*m/m2 st: NotStopd t0: [20:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [20:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 727.273 u1: ... st: NotStopd t0: [20:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1558.44 u1: ... st: NotStopd t0: [20:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 70.2128 u1: ml st: NotStopd t0: [20:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [20:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [19:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [19:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [19:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [19:00:00 18/11/2010] tf: [21:17:00 07/12/2010] dt: 27497 id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [19:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [20:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [20:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [20:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [20:00:00 18/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [20:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml
t0: [19:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/11/2010] id: Propofol el: 3 cu: C-SICU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [19:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 18/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 18/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 18/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 18/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 18/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 18/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 18/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 18/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 18/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 18/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 18/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 18/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 18/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 18/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 18/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 18/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 18/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 18/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 18/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [20:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 18/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 18/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 18/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 18/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [20:00:00 18/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 18/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 18/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 18/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 18/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 18/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 18/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 18/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [20:00:00 18/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 18/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 18/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 18/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 18/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 18/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 18/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 18/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 18/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 18/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 18/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 18/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 18/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 18/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 18/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 18/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 18/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 18/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 26.9231 u1: ml/cmH st: NotStopd t0: [20:00:00 18/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 18/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 18/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 18/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 18/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 18/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 18/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [20:00:00 18/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 18/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 18/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [20:00:00 18/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 18/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 18/11/2010] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [20:00:00 18/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 18/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 18/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 18/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 18/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 730 u1: ml/B st: NotStopd t0: [20:00:00 18/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 18/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 18/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 18/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 18/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 81 rs: Manual st: NotStopd t0: [21:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [21:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [21:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 101 t0: [21:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.53984 u1: kg x m st: NotStopd t0: [21:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.50467 u1: ... st: NotStopd t0: [21:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 83.3952 u1: g * m st: NotStopd t0: [21:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 38.785 u1: g*m/m2 st: NotStopd t0: [21:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [21:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [21:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [21:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.87232 u1: kg * m st: NotStopd t0: [21:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34112 u1: ... st: NotStopd t0: [21:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 31.7696 u1: g * m st: NotStopd t0: [21:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.8598 u1: g*m/m2 st: NotStopd t0: [21:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 34.1121 u1: ... st: NotStopd t0: [21:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [21:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1714.29 u1: ... st: NotStopd t0: [21:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 73.3333 u1: ml st: NotStopd t0: [21:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [21:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [21:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [21:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [21:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [21:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [21:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [21:00:00 18/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [21:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml
t0: [21:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [21:30:00 18/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: CT scan st: NotStopd t0: [22:00:00 18/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 18/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 18/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:00:00 18/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 18/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 18/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 18/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:00:00 18/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [22:00:00 18/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 18/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 18/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 18/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 18/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 18/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 18/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 18/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 18/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 18/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [22:30:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:30:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [22:30:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:30:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 145 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [22:30:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [22:30:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:30:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [22:30:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:30:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 18/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 18/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [23:00:00 18/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [23:00:00 18/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 18/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 18/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 18/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 18/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [23:00:00 18/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 18/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 131 t0: [23:00:00 18/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 18/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 18/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 8.78696 u1: kg x m st: NotStopd t0: [23:00:00 18/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 4.11215 u1: ... st: NotStopd t0: [23:00:00 18/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 79.2064 u1: g * m st: NotStopd t0: [23:00:00 18/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 36.9159 u1: g*m/m2 st: NotStopd t0: [23:00:00 18/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [23:00:00 18/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [23:00:00 18/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [23:00:00 18/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [23:00:00 18/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 18/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:00:00 18/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 18/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 18/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 18/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 18/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103.6 u1: kg st: NotStopd t0: [23:00:00 18/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.18648 u1: kg * m st: NotStopd t0: [23:00:00 18/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.49065 u1: ... st: NotStopd t0: [23:00:00 18/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [23:00:00 18/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.7232 u1: g * m st: NotStopd t0: [23:00:00 18/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.4112 u1: g*m/m2 st: NotStopd t0: [23:00:00 18/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 18/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [23:00:00 18/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [23:00:00 18/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1710.84 u1: ... st: NotStopd t0: [23:00:00 18/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 18/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 18/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 18/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.964 u1: ml st: NotStopd t0: [23:00:00 18/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 18/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [23:00:00 18/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [23:00:00 18/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 18/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 18/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 18/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [22:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [22:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [22:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [22:00:00 18/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [22:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [23:00:00 18/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [23:00:00 18/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [23:00:00 18/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [23:00:00 18/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [23:00:00 18/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml
t0: [22:30:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 500 ap: none
t0: [23:29:00 18/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd
t0: [00:00:00 19/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 19/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [00:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 19/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [00:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 126 t0: [00:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [00:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.0384 u1: kg x m st: NotStopd t0: [00:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [00:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.3648 u1: g * m st: NotStopd t0: [00:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [00:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [00:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [00:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 19/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [00:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [00:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.448 u1: kg * m st: NotStopd t0: [00:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [00:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.256 u1: g * m st: NotStopd t0: [00:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [00:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [00:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 773.333 u1: ... st: NotStopd t0: [00:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1657.14 u1: ... st: NotStopd t0: [00:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.1429 u1: ml st: NotStopd t0: [00:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [00:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 19/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.54464 u1: m2 st: NotStopd t0: [00:00:00 19/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.79547 u1: m2 st: NotStopd t0: [00:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [00:00:00 19/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [00:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [23:00:00 18/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [00:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 19/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [00:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [00:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [00:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vu: ml st: Stopped
t0: [23:00:00 18/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 18/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none
t0: [23:10:00 18/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 84.7 rs: Final st: NotStopd t0: [23:10:00 18/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 84.7 rs: Final st: NotStopd
t0: [23:00:00 18/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [23:00:00 18/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 73 rs: Manual st: NotStopd t0: [00:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 19/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [00:00:00 19/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [00:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [00:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 19/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 19/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 200 vu: ml
t0: [00:00:00 19/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [00:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 19/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.5 u1: L/min st: NotStopd t0: [00:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 19/11/2010] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [00:00:00 19/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [00:00:00 19/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 19/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 19/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [00:00:00 19/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 19/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 19/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 19/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [01:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [01:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 122 t0: [01:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.22648 u1: kg x m st: NotStopd t0: [01:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [01:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.2648 u1: g * m st: NotStopd t0: [01:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: g*m/m2 st: NotStopd t0: [01:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [01:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [01:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.074 u1: kg * m st: NotStopd t0: [01:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.96729 u1: ... st: NotStopd t0: [01:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.74 u1: g * m st: NotStopd t0: [01:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.6729 u1: g*m/m2 st: NotStopd t0: [01:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [01:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 642.623 u1: ... st: NotStopd t0: [01:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1375.44 u1: ... st: NotStopd t0: [01:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61 u1: ml st: NotStopd t0: [01:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [01:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [01:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [01:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [02:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [02:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 133 t0: [02:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.78368 u1: kg x m st: NotStopd t0: [02:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [02:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 72.5152 u1: g * m st: NotStopd t0: [02:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 34.1121 u1: g*m/m2 st: NotStopd t0: [02:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [02:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [02:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [02:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [02:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.44528 u1: kg * m st: NotStopd t0: [02:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [02:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.1392 u1: g * m st: NotStopd t0: [02:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [02:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [02:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 937.931 u1: ... st: NotStopd t0: [02:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2007.38 u1: ... st: NotStopd t0: [02:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.3656 u1: ml st: NotStopd t0: [02:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [02:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [02:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [02:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [01:00:00 19/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [01:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [01:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [02:00:00 19/11/2010] tf: [19:00:00 19/11/2010] dt: 1020 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vu: ml st: Restart t0: [02:00:00 19/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [02:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [02:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [02:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.2 vu: ml
t0: [01:00:00 19/11/2010] tf: [21:17:00 07/12/2010] dt: 27137 id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 80 cv: 2490 ap: none
t0: [02:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [00:00:00 19/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: RN vu: ml t0: [00:00:00 19/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml t0: [01:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [02:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml
t0: [00:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 19/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 200 ap: none t0: [23:00:00 19/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 80 cv: 2690 ap: none
t0: [02:00:00 19/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 19/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 19/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [02:32:00 19/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:32:00 19/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [02:32:00 19/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [02:32:00 19/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [02:32:00 19/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [02:32:00 19/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:32:00 19/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.87 rs: Final st: NotStopd
t0: [02:15:00 19/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.9 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.9 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33.7 u1: % rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 196 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.61 u1: /mic l rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.9 rs: Final st: NotStopd
t0: [03:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [03:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [03:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 134 t0: [03:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.55328 u1: kg x m st: NotStopd t0: [03:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [03:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 43.8464 u1: g * m st: NotStopd t0: [03:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.5607 u1: g*m/m2 st: NotStopd t0: [03:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [03:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [03:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.98288 u1: kg * m st: NotStopd t0: [03:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.925234 u1: ... st: NotStopd t0: [03:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.0944 u1: g * m st: NotStopd t0: [03:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.92523 u1: g*m/m2 st: NotStopd t0: [03:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: ... st: NotStopd t0: [03:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 666.667 u1: ... st: NotStopd t0: [03:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1428.57 u1: ... st: NotStopd t0: [03:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 52.4272 u1: ml st: NotStopd t0: [03:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [03:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [03:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [03:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [03:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [03:00:00 19/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml t0: [03:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [03:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [03:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 10.125 vu: ml
t0: [03:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -28 cv: -28 ap: none t0: [23:00:00 19/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 12 cv: 2650.07 ap: none t0: [23:00:00 19/11/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 1100 ap: none t0: [23:00:00 19/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 52 cv: 4240.08 ap: none t0: [23:00:00 19/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -28 cv: 1550.07 ap: none t0: [23:00:00 19/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -28 cv: 49196.3 ap: carryForward
t0: [02:15:00 19/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 674 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 73 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:15:00 19/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd
t0: [02:15:00 19/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 9 rs: Final st: NotStopd
t0: [04:00:00 19/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 19/11/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [04:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 19/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 130 t0: [04:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.89016 u1: kg x m st: NotStopd t0: [04:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [04:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.936 u1: g * m st: NotStopd t0: [04:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [04:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [04:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [04:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [04:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40584 u1: kg * m st: NotStopd t0: [04:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.12617 u1: ... st: NotStopd t0: [04:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.664 u1: g * m st: NotStopd t0: [04:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.0748 u1: g*m/m2 st: NotStopd t0: [04:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [04:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 708.197 u1: ... st: NotStopd t0: [04:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1515.79 u1: ... st: NotStopd t0: [04:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.8039 u1: ml st: NotStopd t0: [04:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [04:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [04:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 19/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [04:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [04:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [04:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 19/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 19/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 19/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 100 vu: ml t0: [04:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [04:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [04:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [04:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml
t0: [04:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 19/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [04:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [04:00:00 19/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 19/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 19/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [05:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [05:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 19/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [05:00:00 19/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 19/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [04:00:00 19/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: RN ai: 143 vo: 10 vu: ml st: Stopped
t0: [05:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [05:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [05:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 125 t0: [05:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.23968 u1: kg x m st: NotStopd t0: [05:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [05:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.3648 u1: g * m st: NotStopd t0: [05:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [05:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [05:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [05:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.69824 u1: kg * m st: NotStopd t0: [05:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.26168 u1: ... st: NotStopd t0: [05:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8064 u1: g * m st: NotStopd t0: [05:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [05:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [05:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 670.968 u1: ... st: NotStopd t0: [05:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1434.48 u1: ... st: NotStopd t0: [05:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.4074 u1: ml st: NotStopd t0: [05:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [05:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [05:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.74 u1: Deg. F st: NotStopd t0: [05:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [05:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [05:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [05:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [05:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml
t0: [05:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 19/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 29.1667 u1: ml/cmH st: NotStopd t0: [05:00:00 19/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 165.385 u1: units st: NotStopd t0: [05:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 19/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [05:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 19/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [05:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 19/11/2010] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [05:00:00 19/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [05:00:00 19/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 19/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 165.385 u1: units st: NotStopd t0: [05:00:00 19/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 19/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 43 u1: BPM st: NotStopd t0: [05:00:00 19/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.26 u1: L st: NotStopd t0: [05:00:00 19/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 19/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 19/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [05:00:00 19/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [05:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 19/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [02:15:00 19/11/2010] id: Vancomycin/Random Drug Level el: 0 cu: C-SICU cg: 3161 v1: 6.4 rs: Final st: NotStopd
t0: [06:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [06:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [06:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 127 t0: [06:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.90064 u1: kg x m st: NotStopd t0: [06:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [06:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.3456 u1: g * m st: NotStopd t0: [06:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [06:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [06:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [06:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [06:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.8084 u1: kg * m st: NotStopd t0: [06:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.31308 u1: ... st: NotStopd t0: [06:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.036 u1: g * m st: NotStopd t0: [06:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.5514 u1: g*m/m2 st: NotStopd t0: [06:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [06:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 881.356 u1: ... st: NotStopd t0: [06:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1884.06 u1: ... st: NotStopd t0: [06:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.8247 u1: ml st: NotStopd t0: [06:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [06:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [06:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [06:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [05:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [06:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [06:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [06:00:00 19/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [06:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [06:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [06:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 13.5 vu: ml
t0: [02:15:00 19/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 240 rs: Final st: NotStopd
t0: [06:00:00 19/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [06:25:00 19/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [06:25:00 19/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [06:25:00 19/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [06:25:00 19/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [06:25:00 19/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [06:25:00 19/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
tf: [04:00:00 24/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [07:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [07:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [07:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [07:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [07:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 123 t0: [07:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.04656 u1: kg x m st: NotStopd t0: [07:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [07:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.4048 u1: g * m st: NotStopd t0: [07:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [07:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [07:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [07:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [07:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.48064 u1: kg * m st: NotStopd t0: [07:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.15888 u1: ... st: NotStopd t0: [07:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.3712 u1: g * m st: NotStopd t0: [07:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4019 u1: g*m/m2 st: NotStopd t0: [07:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [07:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 814.035 u1: ... st: NotStopd t0: [07:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1744.36 u1: ... st: NotStopd t0: [07:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.8824 u1: ml st: NotStopd t0: [07:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [07:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [07:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [07:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [07:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [07:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [07:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [07:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 13.5 vu: ml
t0: [06:00:00 19/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [08:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [08:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [08:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [08:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 122 t0: [08:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [08:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.99488 u1: kg x m st: NotStopd t0: [08:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [08:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [08:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.9152 u1: g * m st: NotStopd t0: [08:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [08:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 19/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [08:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [08:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [08:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.44528 u1: kg * m st: NotStopd t0: [08:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [08:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [08:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.0312 u1: g * m st: NotStopd t0: [08:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.215 u1: g*m/m2 st: NotStopd t0: [08:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [08:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 758.621 u1: ... st: NotStopd t0: [08:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1623.62 u1: ... st: NotStopd t0: [08:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.8627 u1: ml st: NotStopd t0: [08:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [08:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [08:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 19/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [08:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8.5 vu: ml t0: [08:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 125 vu: ml t0: [08:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 100 vu: ml t0: [08:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 13.5 vu: ml
t0: [08:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [08:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [08:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 19/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [08:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 19/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.1 u1: L/min st: NotStopd t0: [08:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 19/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 19/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 19/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 19/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 721 u1: ml/B st: NotStopd t0: [08:00:00 19/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 19/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [06:02:00 19/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 19.1 rs: Final st: NotStopd t0: [06:02:00 19/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [06:02:00 19/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [06:02:00 19/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [06:02:00 19/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 19.1 rs: Final st: NotStopd t0: [06:02:00 19/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd
t0: [09:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RRT v1: CSICU st: NotStopd t0: [09:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RRT v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RRT v1: 2.61682 u1: ... st: NotStopd t0: [09:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RRT v1: Full Code st: NotStopd t0: [09:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [09:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RRT v1: Occasional st: NotStopd t0: [09:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RRT v1: PVC's st: NotStopd t0: [09:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RRT v1: 99 u1: BPM st: NotStopd t0: [09:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RRT v1: Atrial Fib st: NotStopd t0: [09:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RRT v1: 128 t0: [09:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RRT v1: 5.63584 u1: kg x m st: NotStopd t0: [09:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RRT v1: 2.61682 u1: ... st: NotStopd t0: [09:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RRT v1: 57.3648 u1: g * m st: NotStopd t0: [09:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RRT v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [09:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RRT v1: 31 u1: mmHg st: NotStopd t0: [09:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RRT v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [09:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RRT v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RRT v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RRT v1: Contact st: NotStopd t0: [09:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RRT v1: 109 u1: kg st: NotStopd t0: [09:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RRT v1: 2.36096 u1: kg * m st: NotStopd t0: [09:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RRT v1: 1.1028 u1: ... st: NotStopd t0: [09:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RRT v1: 24.0312 u1: g * m st: NotStopd t0: [09:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RRT v1: 11.215 u1: g*m/m2 st: NotStopd t0: [09:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [09:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RRT v1: 26.6355 u1: ... st: NotStopd t0: [09:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RRT v1: 785.714 u1: ... st: NotStopd t0: [09:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RRT v1: 1679.39 u1: ... st: NotStopd t0: [09:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [09:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RRT v1: 56.5657 u1: ml st: NotStopd t0: [09:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RRT v1: 65 u1: % st: NotStopd t0: [09:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RRT v1: Blood st: NotStopd t0: [09:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RRT v1: 37.0556 u1: Deg. C st: NotStopd t0: [09:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RRT v1: 98.7 u1: Deg. F st: NotStopd t0: [09:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RRT v1: 1 u1: kg st: NotStopd t0: [09:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [10:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [10:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [10:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [10:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [10:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [10:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [10:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.9 u1: L/min st: NotStopd t0: [10:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [10:00:00 19/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 22 u1: . st: NotStopd t0: [10:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [10:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [10:00:00 19/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 692 u1: ml/B st: NotStopd t0: [10:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [10:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [10:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Danger Agitation st: NotStopd t0: [10:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [10:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.30496 u1: kg x m st: NotStopd t0: [10:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [10:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 51.68 u1: g * m st: NotStopd t0: [10:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: g*m/m2 st: NotStopd t0: [10:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [10:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [10:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [10:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.4888 u1: kg * m st: NotStopd t0: [10:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.16355 u1: ... st: NotStopd t0: [10:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.4 u1: g * m st: NotStopd t0: [10:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.53271 u1: g*m/m2 st: NotStopd t0: [10:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: ... st: NotStopd t0: [10:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 734.426 u1: ... st: NotStopd t0: [10:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1571.93 u1: ... st: NotStopd t0: [10:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.4132 u1: ml st: NotStopd t0: [10:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [10:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [10:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 250 vu: ml t0: [10:00:00 19/11/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 126 vo: 200 vu: ml t0: [10:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml
t0: [10:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:22:00 19/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [10:22:00 19/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:22:00 19/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [10:22:00 19/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [10:22:00 19/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [10:22:00 19/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [10:22:00 19/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 15.0632 u1: ml/dl st: NotStopd t0: [10:22:00 19/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 915 u1: ml/min st: NotStopd t0: [10:22:00 19/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 427.5 u1: ml/m/m st: NotStopd t0: [10:22:00 19/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 915 u1: ml/min st: NotStopd t0: [10:22:00 19/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 427.57 u1: ml/m/m st: NotStopd t0: [10:22:00 19/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 915 u1: ml/min st: NotStopd t0: [10:22:00 19/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 427.57 u1: ml/m/m st: NotStopd t0: [10:22:00 19/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.02 rs: Final st: NotStopd t0: [10:22:00 19/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [10:15:00 19/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [10:15:00 19/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 63 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 63 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd
t0: [10:15:00 19/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd
t0: [10:15:00 19/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [10:15:00 19/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [11:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RRT v1: CSICU st: NotStopd t0: [11:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RRT v1: 18 u1: mmHg st: NotStopd t0: [11:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RRT v1: 2.61682 u1: ... st: NotStopd t0: [11:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RRT v1: Full Code st: NotStopd t0: [11:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RRT v1: Sedated st: NotStopd t0: [11:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RRT v1: Occasional st: NotStopd t0: [11:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RRT v1: PAC's st: NotStopd t0: [11:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RRT v1: 98 u1: BPM st: NotStopd t0: [11:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RRT v1: Atrial Fib st: NotStopd t0: [11:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RRT v1: 6.0928 u1: kg x m st: NotStopd t0: [11:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RRT v1: 2.85047 u1: ... st: NotStopd t0: [11:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RRT v1: 62.016 u1: g * m st: NotStopd t0: [11:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RRT v1: 28.972 u1: g*m/m2 st: NotStopd t0: [11:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RRT v1: 31 u1: mmHg st: NotStopd t0: [11:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RRT v1: 41 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [11:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RRT v1: 116 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RRT v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RRT v1: Contact st: NotStopd t0: [11:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RRT v1: 109 u1: kg st: NotStopd t0: [11:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RRT v1: 2.36096 u1: kg * m st: NotStopd t0: [11:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RRT v1: 1.1028 u1: ... st: NotStopd t0: [11:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RRT v1: 24.0312 u1: g * m st: NotStopd t0: [11:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RRT v1: 11.215 u1: g*m/m2 st: NotStopd t0: [11:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [11:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RRT v1: 26.6355 u1: ... st: NotStopd t0: [11:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RRT v1: 885.714 u1: ... st: NotStopd t0: [11:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RRT v1: 1893.13 u1: ... st: NotStopd t0: [11:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RRT v1: 57.1429 u1: ml st: NotStopd t0: [11:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RRT v1: 66 u1: % st: NotStopd t0: [11:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RRT v1: Blood st: NotStopd t0: [11:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RRT v1: 37.0556 u1: Deg. C st: NotStopd t0: [11:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RRT v1: 98.7 u1: Deg. F st: NotStopd t0: [11:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RRT v1: 1 u1: kg st: NotStopd t0: [11:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [12:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [12:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [12:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 19/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [12:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 19/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 18 u1: . st: NotStopd t0: [12:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [12:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 19/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 943 u1: ml/B st: NotStopd t0: [12:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [11:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 850 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 19/11/2010] id: Cough/Deep Breathe el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [12:00:00 19/11/2010] id: Incentive Spirometry el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [11:00:00 19/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 19/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [11:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [11:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 19/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [12:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 19/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [12:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [12:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 124 t0: [12:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [12:00:00 19/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.09088 u1: kg x m st: NotStopd t0: [12:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.91589 u1: ... st: NotStopd t0: [12:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [12:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 35.6864 u1: g * m st: NotStopd t0: [12:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 16.8224 u1: g*m/m2 st: NotStopd t0: [12:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [12:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [12:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.85368 u1: kg * m st: NotStopd t0: [12:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.864486 u1: ... st: NotStopd t0: [12:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [12:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 16.1704 u1: g * m st: NotStopd t0: [12:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.57009 u1: g*m/m2 st: NotStopd t0: [12:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 19.1589 u1: ... st: NotStopd t0: [12:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 834.043 u1: ... st: NotStopd t0: [12:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1781.82 u1: ... st: NotStopd t0: [12:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 41.2281 u1: ml st: NotStopd t0: [12:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [12:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [12:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [12:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 16.875 vu: ml
t0: [12:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [13:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.64712 u1: kg x m st: NotStopd t0: [13:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [13:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.3824 u1: g * m st: NotStopd t0: [13:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: g*m/m2 st: NotStopd t0: [13:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [13:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [13:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.87272 u1: kg * m st: NotStopd t0: [13:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.873832 u1: ... st: NotStopd t0: [13:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.0944 u1: g * m st: NotStopd t0: [13:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.92523 u1: g*m/m2 st: NotStopd t0: [13:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: ... st: NotStopd t0: [13:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 847.059 u1: ... st: NotStopd t0: [13:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1815.13 u1: ... st: NotStopd t0: [13:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 52.0408 u1: ml st: NotStopd t0: [13:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [13:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [13:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [13:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.1 u1: L/min st: NotStopd t0: [14:00:00 19/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 19/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [14:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 19/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 7 st: NotStopd t0: [14:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [14:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [14:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.9504 u1: kg x m st: NotStopd t0: [14:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [14:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 46.648 u1: g * m st: NotStopd t0: [14:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: g*m/m2 st: NotStopd t0: [14:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [14:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [14:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.98016 u1: kg * m st: NotStopd t0: [14:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.925234 u1: ... st: NotStopd t0: [14:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.6592 u1: g * m st: NotStopd t0: [14:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.73832 u1: g*m/m2 st: NotStopd t0: [14:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.8972 u1: ... st: NotStopd t0: [14:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 876.923 u1: ... st: NotStopd t0: [14:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1876.54 u1: ... st: NotStopd t0: [14:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 48.5981 u1: ml st: NotStopd t0: [14:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [14:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [14:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [14:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [14:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [13:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 6.75 vu: ml t0: [14:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 19/11/2010] id: D5W 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 6.75 vu: ml
t0: [13:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 19/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 19/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [15:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 19/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [15:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.97352 u1: kg x m st: NotStopd t0: [15:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [15:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.5504 u1: g * m st: NotStopd t0: [15:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [15:00:00 19/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [15:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [15:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [15:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [15:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1624 u1: kg * m st: NotStopd t0: [15:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.00935 u1: ... st: NotStopd t0: [15:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [15:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [15:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [15:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 815.094 u1: ... st: NotStopd t0: [15:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1741.94 u1: ... st: NotStopd t0: [15:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.7895 u1: ml st: NotStopd t0: [15:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [15:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [15:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [15:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 19/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [14:00:00 19/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [15:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [15:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 6.75 vu: ml t0: [15:00:00 19/11/2010] tf: [12:00:00 20/11/2010] dt: 1260 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [15:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:50:00 19/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 15.0632 u1: ml/dl st: NotStopd t0: [14:50:00 19/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 780 u1: ml/min st: NotStopd t0: [14:50:00 19/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 364.5 u1: ml/m/m st: NotStopd t0: [14:50:00 19/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 780 u1: ml/min st: NotStopd t0: [14:50:00 19/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 364.486 u1: ml/m/m st: NotStopd t0: [14:50:00 19/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 780 u1: ml/min st: NotStopd t0: [14:50:00 19/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 364.486 u1: ml/m/m st: NotStopd t0: [14:50:00 19/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:50:00 19/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [14:39:00 19/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [14:39:00 19/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:39:00 19/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 47.1 rs: Final st: NotStopd t0: [14:39:00 19/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:39:00 19/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [14:39:00 19/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 47.1 rs: Final st: NotStopd
t0: [16:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [16:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [16:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 19/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [16:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 19/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 18 u1: . st: NotStopd t0: [16:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 19/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 876 u1: ml/B st: NotStopd t0: [16:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [18:00:00 19/11/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
t0: [17:00:00 19/11/2010] id: IV Site Appear #1 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [16:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [16:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 124 t0: [16:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [16:00:00 19/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.85792 u1: kg x m st: NotStopd t0: [16:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [16:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [16:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.7808 u1: g * m st: NotStopd t0: [16:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: g*m/m2 st: NotStopd t0: [16:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [16:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [16:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.9176 u1: kg * m st: NotStopd t0: [16:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.897196 u1: ... st: NotStopd t0: [16:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [16:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.624 u1: g * m st: NotStopd t0: [16:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.0935 u1: g*m/m2 st: NotStopd t0: [16:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [16:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 987.234 u1: ... st: NotStopd t0: [16:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2109.09 u1: ... st: NotStopd t0: [16:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.4091 u1: ml st: NotStopd t0: [16:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [16:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [16:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [16:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 19/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd t0: [17:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [17:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 124 t0: [17:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.73008 u1: kg x m st: NotStopd t0: [17:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [17:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 48.3072 u1: g * m st: NotStopd t0: [17:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [17:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [17:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [17:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.85368 u1: kg * m st: NotStopd t0: [17:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.864486 u1: ... st: NotStopd t0: [17:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.9312 u1: g * m st: NotStopd t0: [17:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.83178 u1: g*m/m2 st: NotStopd t0: [17:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: ... st: NotStopd t0: [17:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 970.213 u1: ... st: NotStopd t0: [17:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2072.73 u1: ... st: NotStopd t0: [17:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 48.4536 u1: ml st: NotStopd t0: [17:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [17:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [17:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [17:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [12:00:00 19/11/2010] tf: [13:00:00 22/11/2010] dt: 4380 id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [14:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [16:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 5.0625 vu: ml t0: [16:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [16:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 19/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 15 vu: ml t0: [17:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 5.0625 vu: ml t0: [17:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml t0: [17:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [16:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN st: NotStopd t0: [17:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 19/11/2010] id: IV #1 Reason DC'D el: 0 cu: C-SICU cg: RN v1: Clotted off st: NotStopd t0: [17:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [17:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [17:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [17:00:00 19/11/2010] id: IV #1 D/C Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 10 st: NotStopd t0: [17:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [17:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [17:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [17:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [17:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [18:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [18:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [18:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [18:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [18:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [18:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [19:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [19:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [19:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 129 t0: [19:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.352 u1: kg x m st: NotStopd t0: [19:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.05607 u1: ... st: NotStopd t0: [19:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 44.3904 u1: g * m st: NotStopd t0: [19:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.5607 u1: g*m/m2 st: NotStopd t0: [19:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [19:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.768 u1: kg * m st: NotStopd t0: [19:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.827103 u1: ... st: NotStopd t0: [19:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.0336 u1: g * m st: NotStopd t0: [19:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.41121 u1: g*m/m2 st: NotStopd t0: [19:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [19:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [19:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1709.4 u1: ... st: NotStopd t0: [19:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.0204 u1: ml st: NotStopd t0: [19:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [19:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [19:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [19:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [19:00:00 19/11/2010] tf: [16:00:00 25/11/2010] dt: 8460 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [19:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [19:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [19:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml
t0: [18:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
io: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ra: 5 ru: ml/hr
t0: [19:00:00 19/11/2010] id: Dextrose 10% IV Infusions el: 2 cu: C-SICU cg: -1 ai: 143 vo: 0 st: D/C'd
id: .9% Normal Saline el: 2 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [20:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [20:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [20:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [20:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 119 t0: [20:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.7872 u1: kg x m st: NotStopd t0: [20:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [20:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.0016 u1: g * m st: NotStopd t0: [20:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: g*m/m2 st: NotStopd t0: [20:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [20:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.87 u1: kg * m st: NotStopd t0: [20:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.873832 u1: ... st: NotStopd t0: [20:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.36 u1: g * m st: NotStopd t0: [20:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.59813 u1: g*m/m2 st: NotStopd t0: [20:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [20:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 741.818 u1: ... st: NotStopd t0: [20:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1587.55 u1: ... st: NotStopd t0: [20:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.4554 u1: ml st: NotStopd t0: [20:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [20:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [20:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [20:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [20:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [20:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [20:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 19/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 19/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [20:00:00 19/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 19/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 19/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 19/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 19/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 19/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [20:00:00 19/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 19/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 19/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [20:00:00 19/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 19/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 19/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 18 u1: . st: NotStopd t0: [20:00:00 19/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 19/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 19/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 19/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 19/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [20:00:00 19/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [20:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [20:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 76 rs: Manual st: NotStopd
t0: [15:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [15:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [15:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [15:00:00 19/11/2010] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [15:00:00 19/11/2010] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: 18 gauge st: NotStopd t0: [18:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [18:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 19/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 19/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 19/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 19/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 19/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 19/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [21:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [21:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [21:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 122 t0: [21:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.556 u1: kg x m st: NotStopd t0: [21:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [21:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 48.2936 u1: g * m st: NotStopd t0: [21:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [21:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [21:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [21:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.768 u1: kg * m st: NotStopd t0: [21:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.827103 u1: ... st: NotStopd t0: [21:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.7408 u1: g * m st: NotStopd t0: [21:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.73832 u1: g*m/m2 st: NotStopd t0: [21:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [21:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 864 u1: ... st: NotStopd t0: [21:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1846.15 u1: ... st: NotStopd t0: [21:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 52.6316 u1: ml st: NotStopd t0: [21:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [21:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [21:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [21:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [21:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [21:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [21:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [21:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [21:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 19/11/2010] id: Drain Out #4 Other el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
id: GT Flush el: 2 cu: C-SICU cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric
t0: [20:20:00 19/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 79 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 797 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 82 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 241 rs: Final st: NotStopd t0: [20:20:00 19/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd
t0: [22:00:00 19/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [22:00:00 19/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [22:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 19/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [22:00:00 19/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 124 t0: [22:00:00 19/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 19/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 19/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.97352 u1: kg x m st: NotStopd t0: [22:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [22:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 50.6736 u1: g * m st: NotStopd t0: [22:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: g*m/m2 st: NotStopd t0: [22:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [22:00:00 19/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 19/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 19/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [22:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.87408 u1: kg * m st: NotStopd t0: [22:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.873832 u1: ... st: NotStopd t0: [22:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.0944 u1: g * m st: NotStopd t0: [22:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.92523 u1: g*m/m2 st: NotStopd t0: [22:00:00 19/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 19/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 19/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 19/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 19/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [22:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 845.283 u1: ... st: NotStopd t0: [22:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1806.45 u1: ... st: NotStopd t0: [22:00:00 19/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 19/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.0816 u1: ml st: NotStopd t0: [22:00:00 19/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [22:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [22:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [22:00:00 19/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [22:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [22:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [22:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [22:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [22:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 19/11/2010] tf: [21:17:00 07/12/2010] dt: 25877 id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 50 vu: ml
t0: [23:00:00 19/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 160 ap: none
t0: [20:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 19/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [22:00:00 19/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [23:00:00 19/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd
t0: [23:00:00 19/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 19/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [23:00:00 19/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [23:00:00 19/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [23:00:00 19/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 19/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 19/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [23:00:00 19/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 19/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [23:00:00 19/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [23:00:00 19/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [23:00:00 19/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 19/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [23:00:00 19/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [23:00:00 19/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [23:00:00 19/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 19/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 19/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 142 t0: [23:00:00 19/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 19/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [23:00:00 19/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.6852 u1: kg x m st: NotStopd t0: [23:00:00 19/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [23:00:00 19/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [23:00:00 19/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 19/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 19/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.736 u1: g * m st: NotStopd t0: [23:00:00 19/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [23:00:00 19/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 19/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 19/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [23:00:00 19/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 19/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [23:00:00 19/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [23:00:00 19/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [23:00:00 19/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 19/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 19/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 19/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 19/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.65784 u1: kg * m st: NotStopd t0: [23:00:00 19/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.775701 u1: ... st: NotStopd t0: [23:00:00 19/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [23:00:00 19/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 19/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 19/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 16.8912 u1: g * m st: NotStopd t0: [23:00:00 19/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.8972 u1: g*m/m2 st: NotStopd t0: [23:00:00 19/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [23:00:00 19/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 19/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 19/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [23:00:00 19/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 784.906 u1: ... st: NotStopd t0: [23:00:00 19/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1677.42 u1: ... st: NotStopd t0: [23:00:00 19/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 19/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 19/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.0816 u1: ml st: NotStopd t0: [23:00:00 19/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [23:00:00 19/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 19/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [23:00:00 19/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [23:00:00 19/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [23:00:00 19/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 19/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 19/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 19/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [23:00:00 19/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 19/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [23:00:00 19/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [23:00:00 19/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [23:00:00 19/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 19/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 40 cv: 330 ap: none
t0: [23:15:00 19/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 72.2 rs: Final st: NotStopd t0: [23:15:00 19/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 72.2 rs: Final st: NotStopd
t0: [00:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [00:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 20/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 20/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 140 t0: [00:00:00 20/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 20/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.17792 u1: kg x m st: NotStopd t0: [00:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 1.96262 u1: ... st: NotStopd t0: [00:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 39.168 u1: g * m st: NotStopd t0: [00:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 18.2243 u1: g*m/m2 st: NotStopd t0: [00:00:00 20/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [00:00:00 20/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 20/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 20/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.56672 u1: kg * m st: NotStopd t0: [00:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.733645 u1: ... st: NotStopd t0: [00:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 14.688 u1: g * m st: NotStopd t0: [00:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 6.86916 u1: g*m/m2 st: NotStopd t0: [00:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 21.028 u1: ... st: NotStopd t0: [00:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 900 u1: ... st: NotStopd t0: [00:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1928.57 u1: ... st: NotStopd t0: [00:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 44.8598 u1: ml st: NotStopd t0: [00:00:00 20/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [00:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 20/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 20/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 20/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [00:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 20/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [00:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [00:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [00:00:00 20/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 20/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.8889 u1: ml/cmH st: NotStopd t0: [00:00:00 20/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 20/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 7 st: NotStopd t0: [00:00:00 20/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 20/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 20/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 20/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:5.3 st: NotStopd t0: [00:00:00 20/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 20/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 20/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 20/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [00:00:00 20/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 20/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 20/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [00:00:00 20/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 20/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 20/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 20/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 20/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 18 u1: . st: NotStopd t0: [00:00:00 20/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [00:00:00 20/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 20/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 20/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 20/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 20/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 20/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [00:00:00 20/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 20/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [00:00:00 20/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 20/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 20/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:45:00 20/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 23 u1: % rs: Final st: NotStopd t0: [00:45:00 20/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd
t0: [00:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 20/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [01:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [01:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [01:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 136 t0: [01:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.61312 u1: kg x m st: NotStopd t0: [01:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [01:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 48.7424 u1: g * m st: NotStopd t0: [01:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.8972 u1: g*m/m2 st: NotStopd t0: [01:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [01:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [01:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.72992 u1: kg * m st: NotStopd t0: [01:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.808411 u1: ... st: NotStopd t0: [01:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 18.2784 u1: g * m st: NotStopd t0: [01:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.5514 u1: g*m/m2 st: NotStopd t0: [01:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [01:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 815.094 u1: ... st: NotStopd t0: [01:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1741.94 u1: ... st: NotStopd t0: [01:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.7895 u1: ml st: NotStopd t0: [01:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [01:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [01:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [01:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [00:00:00 20/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml t0: [01:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [01:00:00 20/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [01:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [01:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [01:00:00 20/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 20/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33.9 u1: % rs: Final st: NotStopd
t0: [02:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [02:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [02:00:00 20/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 20/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [02:00:00 20/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 20/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [02:00:00 20/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 20/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 20/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 20/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 20/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 20/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 130 t0: [02:00:00 20/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 20/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [02:00:00 20/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 20/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 20/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.712 u1: kg x m st: NotStopd t0: [02:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [02:00:00 20/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [02:00:00 20/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 20/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [02:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [02:00:00 20/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 20/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 20/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [02:00:00 20/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [02:00:00 20/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 20/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 20/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 20/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [02:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.632 u1: kg * m st: NotStopd t0: [02:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.761682 u1: ... st: NotStopd t0: [02:00:00 20/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [02:00:00 20/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 20/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 16.32 u1: g * m st: NotStopd t0: [02:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 7.61682 u1: g*m/m2 st: NotStopd t0: [02:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [02:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: ... st: NotStopd t0: [02:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1168 u1: ... st: NotStopd t0: [02:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2495.73 u1: ... st: NotStopd t0: [02:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 20/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50 u1: ml st: NotStopd t0: [02:00:00 20/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [02:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:00:00 20/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 20/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 20/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 20/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [02:00:00 20/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 20/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [02:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [02:00:00 20/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [02:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [02:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:30:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 3.5 vu: ml t0: [02:30:00 20/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [02:30:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 20 vu: ml t0: [02:30:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [02:30:00 20/11/2010] id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: RN ai: 128 vo: 250 vu: ml
t0: [23:00:00 20/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 75 cv: 75 ap: none t0: [23:00:00 20/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 22 cv: 22 ap: none t0: [23:00:00 20/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 17 cv: 1390 ap: none t0: [23:00:00 20/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 97 cv: 4220 ap: none t0: [23:00:00 20/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 80 cv: 1520 ap: none t0: [23:00:00 20/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1780 ap: none t0: [23:00:00 20/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 22 cv: 2315 ap: carryForward t0: [23:00:00 20/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 75 cv: 1905 ap: carryForward t0: [23:00:00 20/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 1250 ap: none t0: [23:00:00 20/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 22 cv: 51511.3 ap: carryForward
tf: [02:00:00 21/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Albumin 5% (12.5gm) v1: 12.5 u1: gm
t0: [09:00:00 20/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: -1 ai: 210 vo: 0 st: D/C'd t0: [09:00:00 20/11/2010] id: Gastric Nasogastric el: 3 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [09:00:00 20/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [09:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 20/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [09:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [09:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [09:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 20/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [09:00:00 20/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [09:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 141 t0: [09:00:00 20/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [09:00:00 20/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 20/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 20/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 20/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 20/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 20/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [09:00:00 20/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 20/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 20/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.916 u1: kg x m st: NotStopd t0: [09:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [09:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.14 u1: g * m st: NotStopd t0: [09:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [09:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [09:00:00 20/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [09:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 20/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 20/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [09:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.10748 u1: ... st: NotStopd t0: [09:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.256 u1: g * m st: NotStopd t0: [09:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [09:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [09:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: ... st: NotStopd t0: [09:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 827.586 u1: ... st: NotStopd t0: [09:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1771.22 u1: ... st: NotStopd t0: [09:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 20/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [09:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.4257 u1: ml st: NotStopd t0: [09:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [09:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [09:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [09:00:00 20/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 20/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 20/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 20/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Blanket v2: On st: NotStopd t0: [09:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 20/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 20/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 20/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 20/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [09:00:00 20/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 20/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [09:00:00 20/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [09:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 45.5 vu: ml t0: [09:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [09:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 32.5 vu: ml
t0: [09:00:00 20/11/2010] id: Levophed-k el: 2 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 20/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [09:00:00 20/11/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Positive st: NotStopd
t0: [08:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 42 vu: ml t0: [08:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 300 vu: ml t0: [08:00:00 20/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 500 vu: ml t0: [08:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 20/11/2010] tf: [01:00:00 23/11/2010] dt: 3900 id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 50 vu: ml t0: [09:00:00 20/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [23:00:00 20/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [10:37:00 20/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [10:37:00 20/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd
tf: [10:00:00 21/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm
t0: [04:00:00 20/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.7 u1: % rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 rs: Final st: NotStopd
t0: [11:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [11:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [11:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [11:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 117 t0: [11:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.304 u1: kg x m st: NotStopd t0: [11:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [11:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 48.62 u1: g * m st: NotStopd t0: [11:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.8972 u1: g*m/m2 st: NotStopd t0: [11:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [11:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [11:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.448 u1: kg * m st: NotStopd t0: [11:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [11:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.44 u1: g * m st: NotStopd t0: [11:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.4673 u1: g*m/m2 st: NotStopd t0: [11:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [11:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 680 u1: ... st: NotStopd t0: [11:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1457.14 u1: ... st: NotStopd t0: [11:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.0459 u1: ml st: NotStopd t0: [11:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [11:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [11:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [11:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [10:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [11:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [11:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [11:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 20/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 60.3 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 60.3 rs: Final st: NotStopd
t0: [12:00:00 20/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [12:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [12:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 139 t0: [12:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.236 u1: kg x m st: NotStopd t0: [12:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [12:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.312 u1: g * m st: NotStopd t0: [12:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [12:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [12:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 20/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3188 u1: kg * m st: NotStopd t0: [12:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08411 u1: ... st: NotStopd t0: [12:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.6096 u1: g * m st: NotStopd t0: [12:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.028 u1: g*m/m2 st: NotStopd t0: [12:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [12:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 814.545 u1: ... st: NotStopd t0: [12:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1743.19 u1: ... st: NotStopd t0: [12:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.1224 u1: ml st: NotStopd t0: [12:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [12:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [12:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [12:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [12:00:00 20/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [12:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 20/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [04:00:00 20/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.95 rs: Final st: NotStopd
t0: [04:00:00 20/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 759 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 20/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [13:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [13:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [13:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [13:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 143 t0: [13:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.53656 u1: kg x m st: NotStopd t0: [13:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [13:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.1192 u1: g * m st: NotStopd t0: [13:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [13:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [13:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [13:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [13:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.32696 u1: kg * m st: NotStopd t0: [13:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08879 u1: ... st: NotStopd t0: [13:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8472 u1: g * m st: NotStopd t0: [13:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [13:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [13:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 718.644 u1: ... st: NotStopd t0: [13:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1536.23 u1: ... st: NotStopd t0: [13:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.4409 u1: ml st: NotStopd t0: [13:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [13:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [13:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [13:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [13:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [13:00:00 20/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml
t0: [13:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:30:00 20/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml
tf: [13:00:00 21/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm
t0: [14:00:00 20/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [14:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [14:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [14:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 132 t0: [14:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.9228 u1: kg x m st: NotStopd t0: [14:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [14:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 55.5832 u1: g * m st: NotStopd t0: [14:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [14:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [14:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [14:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 20/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [14:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.652 u1: kg * m st: NotStopd t0: [14:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23832 u1: ... st: NotStopd t0: [14:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.888 u1: g * m st: NotStopd t0: [14:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.6355 u1: g*m/m2 st: NotStopd t0: [14:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [14:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [14:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 615.385 u1: ... st: NotStopd t0: [14:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1315.79 u1: ... st: NotStopd t0: [14:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.7477 u1: ml st: NotStopd t0: [14:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [14:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [14:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [14:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [11:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [14:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml
t0: [14:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 20/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 20/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [14:00:00 20/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 20/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 20/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 20/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [15:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [15:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [15:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [15:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 20/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 145 t0: [15:00:00 20/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 20/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.6168 u1: kg x m st: NotStopd t0: [15:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [15:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.072 u1: g * m st: NotStopd t0: [15:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [15:00:00 20/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [15:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [15:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 20/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 20/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 20/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [15:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.64792 u1: kg * m st: NotStopd t0: [15:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23832 u1: ... st: NotStopd t0: [15:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.3768 u1: g * m st: NotStopd t0: [15:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8037 u1: g*m/m2 st: NotStopd t0: [15:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [15:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 691.525 u1: ... st: NotStopd t0: [15:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1478.26 u1: ... st: NotStopd t0: [15:00:00 20/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.8247 u1: ml st: NotStopd t0: [15:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [15:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [15:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [15:00:00 20/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 20/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 20/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Blanket v2: On st: NotStopd t0: [15:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [15:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml
t0: [15:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 20/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 102 rs: Manual st: NotStopd t0: [16:00:00 20/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [16:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [16:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 20/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 20/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 20/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [16:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 20/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 20/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 20/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 20/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 20/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 20/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [16:00:00 20/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 20/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 156 t0: [16:00:00 20/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 20/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.44096 u1: kg x m st: NotStopd t0: [16:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [16:00:00 20/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 20/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 20/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.4032 u1: g * m st: NotStopd t0: [16:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [16:00:00 20/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 20/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 20/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 20/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [16:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [16:00:00 20/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 20/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 20/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [16:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.95936 u1: kg * m st: NotStopd t0: [16:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.38318 u1: ... st: NotStopd t0: [16:00:00 20/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 20/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 20/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.1312 u1: g * m st: NotStopd t0: [16:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.5981 u1: g*m/m2 st: NotStopd t0: [16:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 20/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [16:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 687.5 u1: ... st: NotStopd t0: [16:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1471.57 u1: ... st: NotStopd t0: [16:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 20/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.7451 u1: ml st: NotStopd t0: [16:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [16:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 20/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 20/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [13:00:00 20/11/2010] tf: [16:00:00 26/11/2010] dt: 8820 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml t0: [13:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [16:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [16:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [17:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [17:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [17:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 166 t0: [17:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.77728 u1: kg x m st: NotStopd t0: [17:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [17:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.6896 u1: g * m st: NotStopd t0: [17:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: g*m/m2 st: NotStopd t0: [17:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [17:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [17:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.64792 u1: kg * m st: NotStopd t0: [17:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23832 u1: ... st: NotStopd t0: [17:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.2744 u1: g * m st: NotStopd t0: [17:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.2243 u1: g*m/m2 st: NotStopd t0: [17:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [17:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 718.644 u1: ... st: NotStopd t0: [17:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1536.23 u1: ... st: NotStopd t0: [17:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.766 u1: ml st: NotStopd t0: [17:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [17:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [17:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [17:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [17:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [17:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [17:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 20/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [18:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 149 t0: [18:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.72424 u1: kg x m st: NotStopd t0: [18:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [18:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 62.8728 u1: g * m st: NotStopd t0: [18:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [18:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [18:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [18:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 20/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [18:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.73768 u1: kg * m st: NotStopd t0: [18:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.28037 u1: ... st: NotStopd t0: [18:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.0696 u1: g * m st: NotStopd t0: [18:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.0654 u1: g*m/m2 st: NotStopd t0: [18:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [18:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 655.738 u1: ... st: NotStopd t0: [18:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1403.51 u1: ... st: NotStopd t0: [18:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67.033 u1: ml st: NotStopd t0: [18:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [18:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [18:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [18:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [18:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [18:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [18:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:40:00 20/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:40:00 20/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [19:40:00 20/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [19:40:00 20/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:5.3 st: NotStopd t0: [19:40:00 20/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [19:40:00 20/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5.6 st: NotStopd t0: [19:40:00 20/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:40:00 20/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [19:40:00 20/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:40:00 20/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [19:40:00 20/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [19:40:00 20/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [19:40:00 20/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [19:40:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:40:00 20/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [19:40:00 20/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [19:40:00 20/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [19:40:00 20/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
tf: [19:00:00 21/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [19:00:00 20/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [19:00:00 20/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [19:00:00 20/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [19:00:00 20/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [20:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 20/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 20/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 20/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [20:00:00 20/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 20/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 20/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 20/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 20/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 20/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 20/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 154 t0: [20:00:00 20/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 20/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 20/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 20/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.93776 u1: kg x m st: NotStopd t0: [20:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [20:00:00 20/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 20/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.384 u1: g * m st: NotStopd t0: [20:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [20:00:00 20/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 20/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [20:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [20:00:00 20/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 20/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 20/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 20/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 20/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 20/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 20/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [20:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.56768 u1: kg * m st: NotStopd t0: [20:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.20093 u1: ... st: NotStopd t0: [20:00:00 20/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Normal st: NotStopd t0: [20:00:00 20/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.112 u1: g * m st: NotStopd t0: [20:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [20:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 20/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [20:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 772.881 u1: ... st: NotStopd t0: [20:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1652.17 u1: ... st: NotStopd t0: [20:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 20/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 20/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 20/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.2041 u1: ml st: NotStopd t0: [20:00:00 20/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [20:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 20/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 20/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 20/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 20/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 101 rs: Manual st: NotStopd t0: [20:00:00 20/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 20/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 20/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 20/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 20/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 20/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 20/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [20:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 160 vu: ml t0: [20:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml
t0: [20:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [21:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 139 t0: [21:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [21:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [21:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [21:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [21:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 15 vu: ml t0: [21:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [21:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [21:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [21:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [21:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.60048 u1: kg x m st: NotStopd t0: [21:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [21:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.0048 u1: g * m st: NotStopd t0: [21:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [21:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.60304 u1: kg * m st: NotStopd t0: [21:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.21495 u1: ... st: NotStopd t0: [21:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.0304 u1: g * m st: NotStopd t0: [21:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1495 u1: g*m/m2 st: NotStopd t0: [21:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [21:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 731.034 u1: ... st: NotStopd t0: [21:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1564.58 u1: ... st: NotStopd t0: [21:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58 u1: ml st: NotStopd t0: [21:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [22:00:00 20/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 20/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 20/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [22:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [22:00:00 20/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 20/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [22:00:00 20/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 143 t0: [22:00:00 20/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 20/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 20/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.76872 u1: kg x m st: NotStopd t0: [22:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [22:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 68.7616 u1: g * m st: NotStopd t0: [22:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [22:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [22:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [22:00:00 20/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 20/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 20/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 20/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 20/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 109 u1: kg st: NotStopd t0: [22:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.9988 u1: kg * m st: NotStopd t0: [22:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.40187 u1: ... st: NotStopd t0: [22:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 30.464 u1: g * m st: NotStopd t0: [22:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.2523 u1: g*m/m2 st: NotStopd t0: [22:00:00 20/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 20/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 20/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 20/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 20/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Restraint DC'd st: NotStopd t0: [22:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [22:00:00 20/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 787.302 u1: ... st: NotStopd t0: [22:00:00 20/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1687.07 u1: ... st: NotStopd t0: [22:00:00 20/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.2857 u1: ml st: NotStopd t0: [22:00:00 20/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [22:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [22:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [22:00:00 20/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 20/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [22:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [22:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [22:00:00 20/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [22:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [22:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 20/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [22:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 60 ap: none
t0: [22:10:00 20/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [22:10:00 20/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [22:10:00 20/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [22:10:00 20/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [22:10:00 20/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [22:10:00 20/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [22:10:00 20/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [22:10:00 20/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [23:00:00 20/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 20/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [23:00:00 20/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 20/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 20/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [23:00:00 20/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 20/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 152 t0: [23:00:00 20/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.93776 u1: kg x m st: NotStopd t0: [23:00:00 20/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [23:00:00 20/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 61.3904 u1: g * m st: NotStopd t0: [23:00:00 20/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [23:00:00 20/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [23:00:00 20/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [23:00:00 20/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:00:00 20/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 20/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 20/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.64792 u1: kg * m st: NotStopd t0: [23:00:00 20/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23832 u1: ... st: NotStopd t0: [23:00:00 20/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.3768 u1: g * m st: NotStopd t0: [23:00:00 20/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8037 u1: g*m/m2 st: NotStopd t0: [23:00:00 20/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 20/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [23:00:00 20/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 20/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.4583 u1: ml st: NotStopd t0: [23:00:00 20/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [23:00:00 20/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 20/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [23:00:00 20/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [23:00:00 20/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 20/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [23:00:00 20/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/11/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [22:08:00 20/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [22:08:00 20/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [22:08:00 20/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 55.9 rs: Final st: NotStopd t0: [22:08:00 20/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [22:08:00 20/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [22:08:00 20/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 55.9 rs: Final st: NotStopd
t0: [23:00:00 20/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 18 t0: [23:00:00 20/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 20/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 20/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [23:00:00 20/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [23:00:00 20/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:00:00 20/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 20/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [23:00:00 20/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [23:00:00 20/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [23:00:00 20/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [23:00:00 20/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [23:00:00 20/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 20/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 20/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:00:00 20/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [23:00:00 20/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 20/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 20/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 20/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT u1: ml/B st: NotStopd t0: [23:00:00 20/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [23:00:00 20/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [23:00:00 20/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [23:00:00 20/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [00:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 21/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 21/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 21/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 21/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 21/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 21/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 21/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 21/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 139 t0: [00:00:00 21/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 21/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.916 u1: kg x m st: NotStopd t0: [00:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [00:00:00 21/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 21/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.3 u1: g * m st: NotStopd t0: [00:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [00:00:00 21/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 21/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 21/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [00:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [00:00:00 21/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 21/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 21/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.52416 u1: kg * m st: NotStopd t0: [00:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.17757 u1: ... st: NotStopd t0: [00:00:00 21/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 21/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.288 u1: g * m st: NotStopd t0: [00:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.2243 u1: g*m/m2 st: NotStopd t0: [00:00:00 21/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 21/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [00:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 21/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 65.1685 u1: ml st: NotStopd t0: [00:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [00:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 21/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 21/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [23:00:00 20/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 20/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [23:00:00 20/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 20/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 75 vu: ml t0: [00:00:00 21/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [00:00:00 21/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [00:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [00:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 75 cv: 125 ap: none
t0: [00:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 21/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 21/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [00:00:00 21/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 21/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 21/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 21/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 21/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 21/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 21/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 21/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 21/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 21/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 21/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 21/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 21/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 21/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 21/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 21/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 21/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 21/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [01:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [01:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [01:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 152 t0: [01:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.36384 u1: kg x m st: NotStopd t0: [01:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [01:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.1872 u1: g * m st: NotStopd t0: [01:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [01:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.28752 u1: kg * m st: NotStopd t0: [01:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07009 u1: ... st: NotStopd t0: [01:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.2416 u1: g * m st: NotStopd t0: [01:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.7757 u1: g*m/m2 st: NotStopd t0: [01:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [01:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 744.828 u1: ... st: NotStopd t0: [01:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1594.1 u1: ... st: NotStopd t0: [01:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.7363 u1: ml st: NotStopd t0: [01:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [01:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [01:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [01:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [01:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [01:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [01:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [02:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.90187 u1: ... st: NotStopd t0: [02:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 21/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 156 t0: [02:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.65855 u1: kg x m st: NotStopd t0: [02:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [02:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.784 u1: g * m st: NotStopd t0: [02:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [02:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [02:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [02:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.36477 u1: kg * m st: NotStopd t0: [02:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.1028 u1: ... st: NotStopd t0: [02:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.656 u1: g * m st: NotStopd t0: [02:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.4766 u1: g*m/m2 st: NotStopd t0: [02:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [02:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 708.535 u1: ... st: NotStopd t0: [02:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1517.24 u1: ... st: NotStopd t0: [02:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 69.7753 u1: ml st: NotStopd t0: [02:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [02:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [02:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [02:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.21 u1: L/min st: NotStopd
t0: [02:00:00 21/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [02:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [02:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [02:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1395 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2470 ap: carryForward
t0: [02:30:00 21/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:30:00 21/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:30:00 21/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [02:30:00 21/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [02:30:00 21/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [02:30:00 21/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:30:00 21/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd
t0: [02:25:00 21/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.5 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.5 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.7 u1: % rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.5 rs: Final st: NotStopd
t0: [02:25:00 21/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15.7 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 835 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 207 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15.7 rs: Final st: NotStopd
t0: [02:25:00 21/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 51.9 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [02:25:00 21/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 51.9 rs: Final st: NotStopd
t0: [02:00:00 21/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [03:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 146 t0: [03:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.712 u1: kg x m st: NotStopd t0: [03:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [03:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.688 u1: g * m st: NotStopd t0: [03:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: g*m/m2 st: NotStopd t0: [03:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [03:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [03:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.10748 u1: ... st: NotStopd t0: [03:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.2136 u1: g * m st: NotStopd t0: [03:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.7103 u1: g*m/m2 st: NotStopd t0: [03:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [03:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 760 u1: ... st: NotStopd t0: [03:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1628.57 u1: ... st: NotStopd t0: [03:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.9655 u1: ml st: NotStopd t0: [03:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [03:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [03:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [03:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [03:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [03:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [03:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [03:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 21/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 68 rs: Manual st: NotStopd t0: [04:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 21/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [04:00:00 21/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [04:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 21/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 21/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 21/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [04:00:00 21/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 21/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 21/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 21/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 21/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [04:00:00 21/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 21/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [04:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 157 t0: [04:00:00 21/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 21/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 21/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 21/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [04:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [04:00:00 21/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 21/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.648 u1: g * m st: NotStopd t0: [04:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [04:00:00 21/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 21/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [04:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [04:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 21/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 21/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 21/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.448 u1: kg * m st: NotStopd t0: [04:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [04:00:00 21/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 21/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.52 u1: g * m st: NotStopd t0: [04:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.3832 u1: g*m/m2 st: NotStopd t0: [04:00:00 21/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 21/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 21/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: ... st: NotStopd t0: [04:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 786.667 u1: ... st: NotStopd t0: [04:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1685.71 u1: ... st: NotStopd t0: [04:00:00 21/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 21/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.5161 u1: ml st: NotStopd t0: [04:00:00 21/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [04:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [04:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 21/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 21/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [00:00:00 21/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [04:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [04:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [04:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 21/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [04:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 21/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 58 u1: units st: NotStopd t0: [04:00:00 21/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 18 t0: [04:00:00 21/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 21/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 21/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 21/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [04:00:00 21/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 21/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 21/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [04:00:00 21/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [04:00:00 21/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 21/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [04:00:00 21/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 21/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 21/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 21/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 58 u1: units st: NotStopd t0: [04:00:00 21/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 21/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 21/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 21/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: L st: NotStopd t0: [04:00:00 21/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 740 u1: ml/B st: NotStopd t0: [04:00:00 21/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:00:00 21/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 21/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [05:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 170 t0: [05:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.732 u1: kg x m st: NotStopd t0: [05:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [05:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.36 u1: g * m st: NotStopd t0: [05:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: g*m/m2 st: NotStopd t0: [05:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.3464 u1: kg * m st: NotStopd t0: [05:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.630841 u1: ... st: NotStopd t0: [05:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 13.872 u1: g * m st: NotStopd t0: [05:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 6.49533 u1: g*m/m2 st: NotStopd t0: [05:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.7757 u1: ... st: NotStopd t0: [05:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 727.273 u1: ... st: NotStopd t0: [05:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1558.44 u1: ... st: NotStopd t0: [05:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.0412 u1: ml st: NotStopd t0: [05:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [05:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [05:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [05:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [04:00:00 21/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 25 vu: ml t0: [05:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [05:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [05:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [05:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 21/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [06:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [06:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 21/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 21/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [06:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 151 t0: [06:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.4672 u1: kg x m st: NotStopd t0: [06:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [06:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 55.5832 u1: g * m st: NotStopd t0: [06:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [06:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [06:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [06:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [06:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [06:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.448 u1: kg * m st: NotStopd t0: [06:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [06:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.888 u1: g * m st: NotStopd t0: [06:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.6355 u1: g*m/m2 st: NotStopd t0: [06:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: ... st: NotStopd t0: [06:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 693.333 u1: ... st: NotStopd t0: [06:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1485.71 u1: ... st: NotStopd t0: [06:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.2245 u1: ml st: NotStopd t0: [06:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [06:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [06:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [06:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [00:00:00 21/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 150 vu: ml nb: 1 t0: [00:00:00 21/11/2010] id: D5W 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 110 vu: ml t0: [06:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [06:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [06:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [06:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 21/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [08:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RRT v1: CSICU st: NotStopd t0: [08:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RRT v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RRT v1: 2.80374 u1: ... st: NotStopd t0: [08:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RRT v1: Full Code st: NotStopd t0: [08:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 21/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 20 t0: [08:00:00 21/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RRT v1: Occasional st: NotStopd t0: [08:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RRT v1: PVC's st: NotStopd t0: [08:00:00 21/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RRT v1: 97 u1: BPM st: NotStopd t0: [08:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RRT v1: Atrial Fib st: NotStopd t0: [08:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RRT v1: 148 t0: [08:00:00 21/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 21/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [08:00:00 21/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 21/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 21/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [08:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RRT v1: 6.0384 u1: kg x m st: NotStopd t0: [08:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RRT v1: 2.80374 u1: ... st: NotStopd t0: [08:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RRT v1: 62.3968 u1: g * m st: NotStopd t0: [08:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RRT v1: 28.972 u1: g*m/m2 st: NotStopd t0: [08:00:00 21/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [08:00:00 21/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 21/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [08:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RRT v1: 31 u1: mmHg st: NotStopd t0: [08:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RRT v1: 39 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [08:00:00 21/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 21/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RRT v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RRT v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RRT v1: Contact st: NotStopd t0: [08:00:00 21/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RRT v1: 2.5296 u1: kg * m st: NotStopd t0: [08:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RRT v1: 1.18224 u1: ... st: NotStopd t0: [08:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RRT v1: 26.1392 u1: g * m st: NotStopd t0: [08:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RRT v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [08:00:00 21/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [08:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RRT v1: 28.972 u1: ... st: NotStopd t0: [08:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RRT v1: 760 u1: ... st: NotStopd t0: [08:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RRT v1: 1628.57 u1: ... st: NotStopd t0: [08:00:00 21/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RRT v1: 61.8557 u1: ml st: NotStopd t0: [08:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RRT v1: 67 u1: % st: NotStopd t0: [08:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RRT v1: Blood st: NotStopd t0: [08:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RRT v1: 96.8 u1: Deg. F st: NotStopd t0: [08:00:00 21/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 909 u1: ml/B st: NotStopd t0: [08:00:00 21/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 21/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd t0: [08:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RRT v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RRT v1: 6 u1: L/min st: NotStopd
t0: [00:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RRT ai: 222 vo: 80 vu: ml t0: [08:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RRT ai: 117 vo: 16 vu: ml t0: [08:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RRT ai: 222 vo: 200 vu: ml t0: [08:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RRT ai: 107 vo: 20 vu: ml
t0: [08:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 21/11/2010] id: PCWP el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [09:00:00 21/11/2010] id: PVR el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [09:00:00 21/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [09:00:00 21/11/2010] id: D5W 250.0ml IV Infusions el: 2 cu: C-SICU cg: -1 ai: 110 vo: 0 st: D/C'd
t0: [09:00:00 21/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd
t0: [09:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 21/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [09:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [09:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 21/11/2010] id: EDVI el: 2 cu: C-SICU cg: RN v1: 151 t0: [09:00:00 21/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.13904 u1: kg x m st: NotStopd t0: [09:00:00 21/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [09:00:00 21/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 64.4096 u1: g * m st: NotStopd t0: [09:00:00 21/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [09:00:00 21/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [09:00:00 21/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [09:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 21/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.73768 u1: kg * m st: NotStopd t0: [09:00:00 21/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.28037 u1: ... st: NotStopd t0: [09:00:00 21/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.7232 u1: g * m st: NotStopd t0: [09:00:00 21/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.4112 u1: g*m/m2 st: NotStopd t0: [09:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 21/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [09:00:00 21/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 747.541 u1: ... st: NotStopd t0: [09:00:00 21/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1600 u1: ... st: NotStopd t0: [09:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 21/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.5417 u1: ml st: NotStopd t0: [09:00:00 21/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [09:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [09:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [09:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 21/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [09:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8 vu: ml t0: [09:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 100 vu: ml t0: [09:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [10:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 21/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [10:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 21/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [10:00:00 21/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [10:00:00 21/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 21/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: Scrotal v2: Anasarca st: NotStopd t0: [10:00:00 21/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 21/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 21/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 21/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 21/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 21/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 21/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 21/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#2 D/C Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [10:00:00 21/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 21/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [10:00:00 21/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 21/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 21/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 21/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 21/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 21/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 21/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 21/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 21/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 21/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 21/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [10:00:00 21/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 21/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 21/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 21/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 21/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 21/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:00:00 21/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 21/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 21/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 21/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 21/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 21/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [10:00:00 21/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 21/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 21/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [10:00:00 21/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [10:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 8 vu: ml t0: [10:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [10:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 21/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [10:00:00 21/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [10:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 21/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [11:00:00 21/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [11:00:00 21/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [11:00:00 21/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd
t0: [11:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Runs Vtach st: NotStopd t0: [11:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [12:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [12:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 16 vu: ml t0: [12:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [12:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml
t0: [11:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [23:00:00 19/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [00:00:00 20/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 109 u1: kg st: NotStopd t0: [00:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [09:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [12:00:00 20/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 109 u1: kg st: NotStopd t0: [12:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [12:24:00 21/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [12:24:00 21/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [12:24:00 21/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [12:24:00 21/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [12:24:00 21/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [12:24:00 21/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.49 rs: Final st: NotStopd
t0: [10:00:00 21/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 21/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 95 rs: Manual st: NotStopd t0: [12:00:00 21/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [12:15:00 21/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [12:15:00 21/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [12:15:00 21/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 49.7 rs: Final st: NotStopd t0: [12:15:00 21/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [12:15:00 21/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [12:15:00 21/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 49.7 rs: Final st: NotStopd
t0: [12:15:00 21/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [12:15:00 21/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [13:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RRT v1: CSICU st: NotStopd t0: [13:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RRT v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RRT v1: Full Code st: NotStopd t0: [13:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [13:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RRT v1: Occasional st: NotStopd t0: [13:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RRT v1: PVC's st: NotStopd t0: [13:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RRT v1: 93 u1: BPM st: NotStopd t0: [13:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RRT v1: Atrial Fib st: NotStopd t0: [13:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RRT v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RRT v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RRT v1: Contact st: NotStopd t0: [13:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [13:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [13:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RRT v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RRT v1: CSICU st: NotStopd t0: [14:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RRT v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RRT v1: Full Code st: NotStopd t0: [14:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [14:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RRT v1: Occasional st: NotStopd t0: [14:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RRT v1: PVC's st: NotStopd t0: [14:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RRT v1: 96 u1: BPM st: NotStopd t0: [14:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RRT v1: Atrial Fib st: NotStopd t0: [14:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RRT v1: 100 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RRT v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RRT v1: Contact st: NotStopd t0: [14:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [14:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [14:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RRT v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RRT ai: 109 vo: 50 vu: ml t0: [14:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RRT ai: 117 vo: 16 vu: ml t0: [14:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RRT ai: 222 vo: 120 vu: ml t0: [14:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RRT ai: 107 vo: 20 vu: ml
t0: [13:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RRT so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 21/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 20 t0: [13:00:00 21/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 21/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 21/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 21/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [13:00:00 21/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 21/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 21/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [13:00:00 21/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [13:00:00 21/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [13:00:00 21/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:00:00 21/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [13:00:00 21/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 21/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 21/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:00:00 21/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [13:00:00 21/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 21/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 855 u1: ml/B st: NotStopd t0: [13:00:00 21/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [13:00:00 21/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 21/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 21/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [14:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 21/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Loose st: NotStopd t0: [14:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 21/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 21/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 21/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [14:00:00 21/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [23:00:00 21/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [14:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/11/2010] tf: [07:00:00 23/11/2010] dt: 2460 id: Drain Out #2 Other el: 2 cu: C-SICU cg: RN vu: ml es: Large t0: [14:00:00 21/11/2010] id: Drain Out #1 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [14:00:00 21/11/2010] id: Drain Out #2 Other el: 2 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [15:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 21/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 20 t0: [16:00:00 21/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 21/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 21/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 21/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [16:00:00 21/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 21/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 21/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 21/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [16:00:00 21/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [16:00:00 21/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 21/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [16:00:00 21/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 21/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 21/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 21/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [16:00:00 21/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 21/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [16:00:00 21/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 21/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 21/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 882 u1: ml/B st: NotStopd t0: [16:00:00 21/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [16:00:00 21/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 21/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 21/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 21/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 21/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 21/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 21/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [16:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 21/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 21/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 21/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 21/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 21/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 21/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 21/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 21/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 21/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 21/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 21/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [16:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 21/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 21/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 21/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 21/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 21/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 21/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 21/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 21/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 21/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 21/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 21/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 21/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 21/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 21/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 21/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 21/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 21/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 21/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 21/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 21/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 21/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 21/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 21/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [16:00:00 21/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 15 vu: ml t0: [16:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [16:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 21/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [16:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 21/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 21/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 21/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 21/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [10:00:00 21/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [10:00:00 21/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [10:00:00 21/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [14:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 21/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 21/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 91 rs: Manual st: NotStopd
io: Carrier IV Infusions el: 3 cu: C-SICU cg: RN ra: 5 ru: ml/hr
id: Carrier el: 3 cu: C-SICU cg: RN io: Carrier IV Infusions du: ml rt: Intravenous Push
t0: [16:00:00 21/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN st: NotStopd t0: [16:00:00 21/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [17:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [17:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 21/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 21/11/2010] tf: [09:00:00 23/11/2010] dt: 2460 id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vu: ml nb: 1 t0: [15:00:00 21/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 21/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
id: Carrier el: 1 cu: C-SICU cg: RN io: Carrier 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [16:00:00 21/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 21/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 21/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/11/2010] tf: [07:00:00 23/11/2010] dt: 2700 id: Drain Out #1 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [18:00:00 21/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [18:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [18:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 21/11/2010] id: Drain Out #1 Other el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [18:00:00 21/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [18:00:00 21/11/2010] id: Drain Out #2 Other el: 2 cu: C-SICU cg: RN vo: 50 vu: ml
t0: [18:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 21/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [20:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [20:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 21/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 21/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 21/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 21/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 21/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 21/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 21/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 21/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 21/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 21/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 21/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 21/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 21/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 21/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 21/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 21/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 21/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 21/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 21/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 21/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 21/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 21/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 21/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 21/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 21/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 21/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 21/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 21/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 21/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 21/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 21/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [20:00:00 21/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [20:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 21/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 21/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 21/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 21/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [20:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [20:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [20:00:00 21/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [20:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [21:00:00 20/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 109 u1: kg st: NotStopd t0: [21:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [23:00:00 20/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [20:39:00 21/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [20:39:00 21/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd
t0: [23:00:00 21/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: 3161 cv: 300 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: 3161 cv: 300 ap: carryForward
t0: [20:39:00 21/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [20:39:00 21/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [20:39:00 21/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 64.5 rs: Final st: NotStopd t0: [20:39:00 21/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [20:39:00 21/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [20:39:00 21/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 64.5 rs: Final st: NotStopd
t0: [22:00:00 21/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [22:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 21/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 21/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 21/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [23:00:00 21/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [23:00:00 21/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 21/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 21/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [23:00:00 21/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 21/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 21/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 21/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [22:00:00 21/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [22:00:00 21/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 45 vu: ml t0: [22:00:00 21/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [22:00:00 21/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 21/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [22:00:00 21/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [22:00:00 21/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 75 vu: ml
t0: [22:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 475 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1554 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3449 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 195 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1700 ap: none t0: [23:00:00 21/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 979 ap: carryForward t0: [23:00:00 21/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 52490.3 ap: carryForward
t0: [01:00:00 22/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 20 t0: [01:00:00 22/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 22/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 22/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 22/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [01:00:00 22/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 22/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 22/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 22/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [01:00:00 22/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [01:00:00 22/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [01:00:00 22/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [01:00:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 22/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [01:00:00 22/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [01:00:00 22/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [01:00:00 22/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [01:00:00 22/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 22/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 22/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 705 u1: ml/B st: NotStopd t0: [01:00:00 22/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 22/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 21/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [22:00:00 21/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 82 rs: Manual st: NotStopd t0: [23:00:00 21/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 21/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 21/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 21/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 21/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:00:00 21/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 21/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 21/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 21/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 21/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 21/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 21/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 22/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 22/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [00:00:00 22/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 22/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 22/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 22/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 22/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 22/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 22/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 22/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 22/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 22/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 22/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 22/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 22/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 22/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 22/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 22/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 22/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 22/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 22/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 22/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 22/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [01:00:00 22/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 22/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 15 vu: ml t0: [00:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [00:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [23:00:00 21/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [01:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [02:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [01:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 22/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 39 cv: 39 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 109 cv: 1885 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 109 cv: 3360 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 900 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 70 cv: 1690 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 39 cv: 1270 ap: carryForward t0: [23:00:00 22/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 70 cv: 2090 ap: carryForward t0: [23:00:00 22/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 39 cv: 53760.3 ap: carryForward
t0: [02:06:00 22/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:06:00 22/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:06:00 22/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:06:00 22/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [02:06:00 22/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [02:06:00 22/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:06:00 22/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd
t0: [02:00:00 22/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 63.5 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.8 u1: % rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 63.5 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 155 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd
t0: [02:00:00 22/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 990 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 218 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:00:00 22/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd
t0: [04:00:00 22/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 100 u1: ml/cmH st: NotStopd t0: [04:00:00 22/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [04:00:00 22/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 22/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 22/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 22/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 45 t0: [04:00:00 22/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 22/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 22/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [04:00:00 22/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 22/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [04:00:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 22/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 22/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 22/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 22/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 22/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 22/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 22/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 22/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 22/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [04:00:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:00:00 22/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 22/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 22/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [03:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [04:00:00 22/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [04:00:00 22/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 22/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 22/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 22/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [04:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 22/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 22/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 22/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 22/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [04:00:00 22/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [04:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 22/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 22/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [04:00:00 22/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [04:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber st: NotStopd t0: [04:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 22/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 100 rs: Manual st: NotStopd t0: [04:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 22/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [04:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [04:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 22/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [04:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [03:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [05:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 22/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [05:00:00 22/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [06:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [06:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 22/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 45 vu: ml t0: [06:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [06:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 22/11/2010] id: Drain Out #1 Other el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [06:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 22/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [06:00:00 22/11/2010] id: Drain Out #2 Other el: 2 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [05:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 75 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 150 ap: none t0: [23:00:00 22/11/2010] dt: 24 id: Drain #2 Total Out el: 3 cu: C-SICU cg: RN cv: 250 ap: none
t0: [06:00:00 22/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 22.6667 u1: units st: NotStopd t0: [06:00:00 22/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 22.6667 u1: units st: NotStopd t0: [06:00:00 22/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [06:00:00 22/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.75 u1: L st: NotStopd
t0: [01:00:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd
tf: [11:00:00 25/11/2010] 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
t0: [07:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [07:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [08:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [09:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 27 vu: ml t0: [09:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 180 vu: ml t0: [09:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml
t0: [07:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:30:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RT v1: 0 u1: cmH2O st: NotStopd t0: [06:30:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RT v1: 5 u1: . st: NotStopd t0: [06:30:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RT v1: Other/Remarks st: NotStopd t0: [09:00:00 22/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RT v1: 20 t0: [09:00:00 22/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 22/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 22/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RT v1: 45 u1: BPM st: NotStopd t0: [09:00:00 22/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RT v1: 35 t0: [09:00:00 22/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RT v1: 8.0 mm st: NotStopd t0: [09:00:00 22/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RT v1: Endotracheal st: NotStopd t0: [09:00:00 22/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RT u1: Deg. C st: NotStopd t0: [09:00:00 22/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RT v1: 10 v2: 9 st: NotStopd t0: [09:00:00 22/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RT v1: 6 st: NotStopd t0: [09:00:00 22/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 22/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RT v1: 14 u1: L/min st: NotStopd t0: [09:00:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RT v1: 0 u1: cmH2O st: NotStopd t0: [09:00:00 22/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RT v1: 20 st: NotStopd t0: [09:00:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RT v1: 5 u1: . st: NotStopd t0: [09:00:00 22/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 22/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 22/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RT v1: 680 u1: ml/B st: NotStopd t0: [09:00:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RT v1: Pressure Support st: NotStopd t0: [09:00:00 22/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RT v1: Drager st: NotStopd
t0: [09:18:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [09:18:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RT v1: 10 u1: . st: NotStopd t0: [09:18:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RT v1: CPAP+PS st: NotStopd
t0: [09:00:00 22/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [09:00:00 22/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd
t0: [08:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 22/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 22/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [10:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [10:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [10:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [10:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [10:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [10:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [10:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [10:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [10:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [10:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [10:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [12:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 22/11/2010] id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: RN ai: 128 vo: 250 vu: ml t0: [12:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [11:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 23/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [12:27:00 22/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RT v1: 24 t0: [12:27:00 22/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [12:27:00 22/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [12:27:00 22/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RT v1: 45 u1: BPM st: NotStopd t0: [12:27:00 22/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RT v1: 35 t0: [12:27:00 22/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RT v1: 8.0 mm st: NotStopd t0: [12:27:00 22/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RT v1: Endotracheal st: NotStopd t0: [12:27:00 22/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RT u1: Deg. C st: NotStopd t0: [12:27:00 22/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RT v1: 10 v2: 9 st: NotStopd t0: [12:27:00 22/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RT v1: 6 st: NotStopd t0: [12:27:00 22/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [12:27:00 22/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RT v1: 15 u1: L/min st: NotStopd t0: [12:27:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [12:27:00 22/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RT v1: 20 st: NotStopd t0: [12:27:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RT v1: 10 u1: . st: NotStopd t0: [12:27:00 22/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [12:27:00 22/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [12:27:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RT v1: 99 u1: % st: NotStopd t0: [12:27:00 22/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RT v1: Yellow v2: Thin st: NotStopd t0: [12:27:00 22/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RT v1: Suctioned v2: Scant st: NotStopd t0: [12:27:00 22/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RT v1: 750 u1: ml/B st: NotStopd t0: [12:27:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RT v1: CPAP+PS st: NotStopd t0: [12:27:00 22/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RT v1: Drager st: NotStopd
t0: [12:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [13:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [12:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 22/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [13:00:00 22/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml st: Stopped
t0: [14:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [14:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [14:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [14:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [14:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [14:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [14:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [14:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 22/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [14:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [14:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [14:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [15:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 22/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [15:00:00 22/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [15:00:00 22/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [15:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [15:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [15:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:27:00 22/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [15:27:00 22/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [15:27:00 22/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [15:27:00 22/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [15:27:00 22/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [15:27:00 22/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [15:20:00 22/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [15:20:00 22/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [15:20:00 22/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [15:20:00 22/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd
t0: [15:27:00 22/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.08 rs: Final st: NotStopd t0: [16:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [16:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [16:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [16:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [16:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:20:00 22/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 60.9 rs: Final st: NotStopd t0: [15:20:00 22/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 60.9 rs: Final st: NotStopd
t0: [16:10:00 22/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RT v1: 24 t0: [16:10:00 22/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [16:10:00 22/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [16:10:00 22/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RT v1: 45 u1: BPM st: NotStopd t0: [16:10:00 22/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RT v1: 35 t0: [16:10:00 22/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RT v1: 8.0 mm st: NotStopd t0: [16:10:00 22/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RT v1: Endotracheal st: NotStopd t0: [16:10:00 22/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RT u1: Deg. C st: NotStopd t0: [16:10:00 22/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RT v1: 10 v2: 9 st: NotStopd t0: [16:10:00 22/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RT v1: 6 st: NotStopd t0: [16:10:00 22/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [16:10:00 22/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RT v1: 11.2 u1: L/min st: NotStopd t0: [16:10:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [16:10:00 22/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RT v1: 20 st: NotStopd t0: [16:10:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RT v1: 10 u1: . st: NotStopd t0: [16:10:00 22/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RT v1: 14 u1: BPM st: NotStopd t0: [16:10:00 22/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [16:10:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RT v1: 97 u1: % st: NotStopd t0: [16:10:00 22/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RT v1: 800 u1: ml/B st: NotStopd t0: [16:10:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RT v1: CPAP+PS st: NotStopd t0: [16:10:00 22/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RT v1: Drager st: NotStopd
t0: [16:00:00 22/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 87 rs: Manual st: NotStopd t0: [17:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [17:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [17:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:20:00 22/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [15:20:00 22/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [14:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [18:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [18:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [18:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [18:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [18:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [18:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [18:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [18:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [18:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [18:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [18:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [18:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [18:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 22/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [20:00:00 22/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 22/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 22/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 22/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [20:00:00 22/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 22/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 22/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [20:00:00 22/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 22/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [20:00:00 22/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 22/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 22/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 22/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 22/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 22/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 22/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 22/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 22/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 22/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [20:00:00 22/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [20:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [20:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 22/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 22/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [20:00:00 22/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 22/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 22/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 22/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 22/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 22/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 22/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 22/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 22/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 22/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 22/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 22/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 22/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 22/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [20:00:00 22/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 22/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 22/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 22/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 22/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 22/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 22/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 22/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 22/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 22/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 22/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 22/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 22/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 22/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 22/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 22/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 22/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 22/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 22/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 22/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 22/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 22/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 22/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 22/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 22/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 22/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 22/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 22/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 22/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 22/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 22/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [20:15:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:15:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:15:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:15:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 128 u1: BPM st: NotStopd t0: [20:15:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:15:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:15:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:15:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:15:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:15:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [20:15:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [20:15:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
tf: [20:00:00 23/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [21:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [21:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [21:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml t0: [22:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [22:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [22:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [08:00:00 02/12/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg
t0: [23:00:00 22/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none
t0: [22:08:00 22/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 80 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 80 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.04 rs: Final st: NotStopd t0: [22:08:00 22/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [22:30:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:30:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:30:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:30:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:30:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:30:00 22/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Ultrasound st: NotStopd t0: [22:30:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:30:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:30:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 22/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd
t0: [21:48:00 22/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 69.2 rs: Final st: NotStopd t0: [21:48:00 22/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 69.2 rs: Final st: NotStopd
t0: [22:00:00 22/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 22/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 22/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [22:00:00 22/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [22:00:00 22/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [22:00:00 22/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 22/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 22/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 22/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 22/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [22:00:00 22/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [23:00:00 22/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 22/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 22/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 22/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 22/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 22/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 22/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 22/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 22/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 22/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 22/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [23:00:00 22/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 22/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [23:00:00 22/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 23/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 23/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [00:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 23/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 23/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 23/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 23/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 23/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 23/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 23/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 23/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 23/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 23/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [00:00:00 23/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 23/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 23/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 23/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 23/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 23/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 23/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 23/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 23/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 23/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 23/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 23/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 23/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 23/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 150 vu: ml t0: [00:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [00:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 0 vu: ml nb: 1
t0: [00:00:00 23/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [00:00:00 23/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 23/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 23/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [00:00:00 23/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 23/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 23/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [00:00:00 23/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 23/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:00:00 23/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 23/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 23/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 23/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [00:00:00 23/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 23/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 23/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [01:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 23/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [01:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [01:00:00 23/11/2010] tf: [00:00:00 24/11/2010] dt: 1380 id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [01:00:00 23/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml t0: [01:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [01:00:00 23/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [01:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 450 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 600 ap: none
t0: [01:11:00 23/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [01:11:00 23/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
tf: [01:00:00 24/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [01:00:00 23/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 23/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [01:00:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [01:00:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [02:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [02:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [02:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:11:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [01:11:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [01:11:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [01:11:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [01:11:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [01:11:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [03:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [03:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [03:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [03:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [03:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [03:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 23/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 400 cv: 2260.5 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 400 cv: 3915.5 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 835 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1420 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 400 cv: 145.5 ap: none t0: [23:00:00 23/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 3770 ap: none t0: [23:00:00 23/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 400 cv: 53905.8 ap: carryForward
t0: [04:00:00 23/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [04:00:00 23/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 23/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 23/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [04:00:00 23/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 23/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 23/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [04:00:00 23/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 23/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [04:00:00 23/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 23/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 23/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 23/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:00:00 23/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [04:00:00 23/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 23/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [03:54:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [03:54:00 23/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd
t0: [03:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 23/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 23/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 23/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 23/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 23/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 23/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 23/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 23/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 23/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 23/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 23/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 23/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [04:00:00 23/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [04:00:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 23/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 450 vu: ml t0: [04:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [04:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml t0: [04:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [04:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 23/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 23/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 23/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [04:00:00 23/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 23/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 23/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 23/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 23/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 23/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 23/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 23/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 23/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 23/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 23/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 23/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 23/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 23/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [05:00:00 23/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [04:00:00 23/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 166 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.1 rs: Final st: NotStopd
t0: [04:00:00 23/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 52 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 953 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 52 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [04:00:00 23/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 17.3 rs: Final st: NotStopd t0: [04:00:00 23/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 17.3 rs: Final st: NotStopd
t0: [05:00:00 23/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [05:00:00 23/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [05:00:00 23/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [05:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 23/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [05:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [05:00:00 23/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [05:00:00 23/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [05:00:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [05:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 23/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 23/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 23/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 23/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 23/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [06:00:00 23/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [06:00:00 23/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd
t0: [06:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [06:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [05:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 23/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 23/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [06:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 23/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 36.6667 u1: units st: NotStopd t0: [06:00:00 23/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 36.6667 u1: units st: NotStopd t0: [06:00:00 23/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [06:00:00 23/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: L st: NotStopd
t0: [05:30:00 23/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml t0: [06:00:00 23/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vu: ml t0: [06:30:00 23/11/2010] id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: RN ai: 128 vo: 50 vu: ml
t0: [06:22:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [06:22:00 23/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [07:00:00 23/11/2010] id: Less Restrict Meas. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: I:E Ratio el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Neg Insp Force(>-25) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Peak Flow el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Vital Cap (>1.0)L el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 23/11/2010] id: Troponin Enzymes el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [07:00:00 23/11/2010] id: Drain Out #1 Other el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd t0: [07:00:00 23/11/2010] id: Drain Out #2 Other el: 2 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [07:00:00 23/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [07:00:00 23/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 23/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [07:00:00 23/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [07:00:00 23/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 23/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 23/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [07:00:00 23/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [07:00:00 23/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [07:00:00 23/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [07:00:00 23/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 23/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 23/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 23/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [07:00:00 23/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:00:00 23/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 730 u1: ml/B st: NotStopd t0: [07:00:00 23/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:00:00 23/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 23/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 23/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 23/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [08:00:00 23/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 23/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 23/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 23/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 23/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 23/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 23/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 23/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 23/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 23/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 23/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 23/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 23/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 23/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 23/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 23/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 23/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 23/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 23/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 23/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 23/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 23/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 23/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 23/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 23/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 0 vu: ml t0: [08:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 23/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [08:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 100 vu: ml t0: [08:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [08:00:00 23/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 0 vu: ml t0: [08:00:00 23/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [08:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [07:00:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 23/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 23/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 23/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 23/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 23/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: No Limitations st: NotStopd t0: [08:00:00 23/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 23/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 23/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 23/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: No Impairment st: NotStopd t0: [08:30:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:30:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:30:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:30:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:30:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [09:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [09:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [09:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 23/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 0 vu: ml st: Stopped
t0: [09:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [10:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [10:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [10:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 23/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [10:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [10:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:30:00 23/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [10:30:00 23/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [10:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:30:00 23/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Extubated st: NotStopd t0: [10:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:45:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:45:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:45:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:45:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:45:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [10:45:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:45:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:45:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:45:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:45:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:45:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [10:45:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [11:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 23/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [11:00:00 23/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [11:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [11:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [11:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [11:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [10:30:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:45:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:30:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:30:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [11:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 23/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:30:00 23/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Congested st: NotStopd t0: [12:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:30:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:30:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:30:00 23/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:30:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:30:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:30:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:30:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:30:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:30:00 23/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:30:00 23/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [12:30:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:30:00 23/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:30:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:30:00 23/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:30:00 23/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:30:00 23/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:30:00 23/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:30:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:30:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:30:00 23/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:30:00 23/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:30:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:30:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:30:00 23/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:30:00 23/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [12:30:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:30:00 23/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [12:30:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:30:00 23/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:30:00 23/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:30:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:30:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 23/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 0 vu: ml t0: [12:30:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 13.5 vu: ml t0: [12:30:00 23/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [12:30:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 75 vu: ml t0: [12:30:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml
t0: [12:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:30:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:30:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:30:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:30:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [11:30:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [11:30:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [11:30:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:30:00 23/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:30:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:30:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:30:00 23/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:30:00 23/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:30:00 23/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd
t0: [12:00:00 23/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 1 u1: torr st: NotStopd t0: [12:00:00 23/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 23/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 23/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 23/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 23/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Other/Remarks st: NotStopd t0: [12:00:00 23/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [13:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 4.5 vu: ml t0: [13:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 2.5 vu: ml
t0: [13:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [13:00:00 23/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [13:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 30 vu: ml
t0: [14:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [14:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 23/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 23/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [14:00:00 23/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [14:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [14:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [14:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [14:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 23/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 14 st: NotStopd t0: [14:00:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [14:00:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:00:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:00:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 23/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 23/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:00:00 23/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [15:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [15:00:00 23/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Product/Congest st: NotStopd t0: [15:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [15:00:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [15:00:00 23/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 23/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [15:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 23/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [15:00:00 23/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 23/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [15:00:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 23/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [15:00:00 23/11/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [15:00:00 23/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [15:00:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [15:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 23/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 23/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 23/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [15:00:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [15:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [15:00:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [15:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [15:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [15:00:00 23/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [15:00:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [15:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [15:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [16:31:00 23/11/2010] id: Chest Tubes Other el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [16:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [16:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [16:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 142 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [16:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [16:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 23/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [16:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:15:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:15:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:15:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [16:15:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:15:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [16:15:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:15:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:15:00 23/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [16:15:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [16:15:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [16:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [16:30:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 300 vu: ml t0: [16:30:00 23/11/2010] id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: RN ai: 128 vo: 50 vu: ml t0: [16:30:00 23/11/2010] tf: [16:31:00 23/11/2010] dt: 1 id: Chest Tubes Other el: 1 cu: C-SICU cg: RN vo: 1900 vu: ml
t0: [23:00:00 23/11/2010] dt: 24 id: Chest Tube Out Total el: 3 cu: C-SICU cg: RN cv: 1900 ap: none
t0: [16:30:00 23/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:30:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:30:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:30:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:30:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:30:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:30:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:30:00 23/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:30:00 23/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:30:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:30:00 23/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:30:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:30:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:30:00 23/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 23/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:30:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:30:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:30:00 23/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:30:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:30:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:30:00 23/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [16:30:00 23/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:30:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:30:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:30:00 23/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 102 rs: Manual st: NotStopd t0: [16:30:00 23/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:45:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:45:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:45:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:45:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:45:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:45:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:45:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:45:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:45:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [16:45:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:45:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:45:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [16:45:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 23/11/2010] tf: [00:00:00 24/11/2010] dt: 450 id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [16:30:00 23/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml
t0: [23:00:00 23/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 220 ap: none
t0: [17:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd
t0: [17:52:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [17:52:00 23/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [17:52:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:52:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [17:52:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [17:52:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [17:52:00 23/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [17:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [17:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [17:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [17:30:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [17:30:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [17:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 88 u1: % st: NotStopd t0: [17:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [18:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [18:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml
t0: [18:00:00 23/11/2010] id: Micro-Neb Treatment el: 0 cu: C-SICU cg: RRT v1: alb st: NotStopd t0: [18:30:00 23/11/2010] id: Micro-Neb Treatment el: 0 cu: C-SICU cg: RRT v1: alb st: NotStopd
t0: [18:30:00 23/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [18:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [18:30:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:30:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [18:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [18:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [18:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [10:00:00 24/11/2010] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [10:00:00 24/11/2010] pt: Unit Dose rt: NEB fr: Q4-6H:PRN m1: Acetylcysteine 20% v1: 1-10 u1: ml
t0: [19:05:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [19:05:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [19:05:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [19:05:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [19:05:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [19:05:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [19:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [19:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [19:00:00 23/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [19:00:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [19:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [19:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [19:00:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 23/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [19:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [19:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [19:00:00 23/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Resp Distress st: NotStopd t0: [19:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 87 u1: % st: NotStopd t0: [19:00:00 23/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [19:00:00 23/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [19:00:00 23/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [19:00:00 23/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [19:00:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [19:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:15:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:15:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:15:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:15:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:15:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [19:15:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:15:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [19:15:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:15:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [19:15:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [19:15:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:15:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:15:00 23/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Intubated st: NotStopd t0: [19:15:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 88 u1: % st: NotStopd t0: [19:15:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:30:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [19:30:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 23/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [19:30:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [19:30:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:30:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [19:30:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:30:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [19:30:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:30:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:30:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:30:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [19:30:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [19:30:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 23/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 23/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 23/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 23/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 23/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 23/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 23/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 23/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 23/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 23/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 23/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 23/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 23/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 23/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [20:00:00 23/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 23/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 23/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 23/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 23/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 23/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [20:00:00 23/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 23/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 23/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Normal st: NotStopd t0: [20:00:00 23/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 23/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 23/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 23/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 23/11/2010] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Normal st: NotStopd t0: [20:00:00 23/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 23/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [20:00:00 23/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 23/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 23/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 23/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 23/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 23/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 23/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 23/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 23/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 23/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 23/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 23/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [19:30:00 23/11/2010] tf: [14:00:00 25/11/2010] dt: 2550 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 23/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 23/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [20:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 23/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [20:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 23/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [20:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [20:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 23/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 23/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 23/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [20:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [20:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 23/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [19:00:00 23/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [19:00:00 23/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [19:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [19:00:00 23/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [19:00:00 23/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [19:00:00 23/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:00:00 23/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [19:00:00 23/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [19:00:00 23/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [19:00:00 23/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [19:00:00 23/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [19:00:00 23/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 23/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [19:00:00 23/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [19:00:00 23/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [19:00:00 23/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:00:00 23/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [19:00:00 23/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:00:00 23/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 23/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [17:00:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 23/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 23/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 23/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White st: NotStopd t0: [17:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [17:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 23/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:52:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg rs: Final st: NotStopd t0: [18:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [18:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [18:30:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 85 u1: % st: NotStopd
t0: [20:00:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: RN v1: 7.41 rs: Manual st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: RN v1: -1 rs: Manual st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: RN v1: 22 rs: Manual st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg rs: Manual st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg rs: Manual st: NotStopd t0: [20:00:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: RN v1: 7.41 rs: Manual st: NotStopd
t0: [22:00:00 23/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 23/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 23/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 23/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [22:00:00 23/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 23/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 23/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 23/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 23/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 23/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [22:00:00 23/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [22:00:00 23/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [22:00:00 23/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [22:00:00 23/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:22:00 23/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [22:22:00 23/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd
t0: [21:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [22:00:00 23/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml
t0: [23:00:00 23/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [23:00:00 23/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [23:00:00 23/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 23/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [23:00:00 23/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [23:00:00 23/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [23:00:00 23/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [23:00:00 23/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:00:00 23/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 23/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [23:00:00 23/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [23:00:00 23/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [23:00:00 23/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [23:00:00 23/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 23/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [23:00:00 23/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [23:00:00 23/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 23/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [23:00:00 23/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [23:00:00 23/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 23/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [00:00:00 24/11/2010] id: Range of Motion el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [00:00:00 24/11/2010] id: Circulation/SkinInt el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [00:00:00 24/11/2010] id: Position Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [00:00:00 24/11/2010] id: Removed x 5 Mins el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [00:00:00 24/11/2010] id: Restraints Evaluated el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [00:00:00 24/11/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 111 vo: 0 st: D/C'd
t0: [21:00:00 23/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 23/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 23/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 23/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [21:00:00 23/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [21:00:00 23/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 23/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 23/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 23/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 23/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 23/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 23/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 23/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 24/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 24/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [00:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 24/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 24/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 24/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 24/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [00:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 24/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [00:00:00 24/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [00:00:00 24/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 24/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 24/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 24/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 24/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: On st: NotStopd t0: [00:00:00 24/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: On st: NotStopd t0: [00:00:00 24/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 24/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 24/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 24/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 24/11/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 24/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 24/11/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 24/11/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 24/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 24/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 24/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 24/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vu: ml t0: [22:00:00 23/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 24/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 0 vu: ml t0: [00:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 24/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [00:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 0 vu: ml nb: 1 t0: [00:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 24/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [00:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 330 ap: none
t0: [00:00:00 24/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [00:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [00:00:00 24/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.56718 u1: m2 st: NotStopd t0: [00:00:00 24/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.82106 u1: m2 st: NotStopd t0: [00:00:00 24/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:00:00 24/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [02:00:00 24/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 24/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [02:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 24/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v2: Changed st: NotStopd t0: [02:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 24/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [02:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [02:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [02:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [02:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [02:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/11/2010] id: BATH el: 0 cu: C-SICU cg: RN t0: [03:00:00 24/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 24/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 24/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [03:00:00 24/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [03:00:00 24/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 24/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 24/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 24/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 24/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [23:00:00 23/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 400 vu: ml nb: 1 t0: [02:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 24/11/2010] tf: [02:00:00 26/11/2010] dt: 2880 id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [02:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml nb: 1 t0: [02:00:00 24/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [02:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 24/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 24/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 200 cv: 2610.62 ap: none t0: [23:00:00 24/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 200 cv: 4510.62 ap: none t0: [23:00:00 24/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RRT cv: 0 ap: carryForward t0: [23:00:00 24/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1320 ap: none t0: [23:00:00 24/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1036 ap: none t0: [23:00:00 24/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 200 cv: 3374.62 ap: carryForward t0: [23:00:00 24/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 1136 ap: carryForward t0: [23:00:00 24/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 200 cv: 57280.4 ap: carryForward
t0: [03:00:00 24/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [03:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [03:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [03:00:00 24/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [03:00:00 24/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [03:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [03:00:00 24/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [03:00:00 24/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [03:00:00 24/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [03:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 24/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [03:00:00 24/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [03:00:00 24/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [03:00:00 24/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [03:00:00 24/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [03:00:00 24/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 24/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [03:21:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:21:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [03:21:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:21:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [03:21:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [03:21:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [03:00:00 24/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 19.3 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 19.3 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 35.2 u1: % rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 205 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 19.3 rs: Final st: NotStopd
t0: [03:00:00 24/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 165 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1091 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 248 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [03:00:00 24/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 52.9 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 52.9 rs: Final st: NotStopd
t0: [03:00:00 24/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.5 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:00:00 24/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.5 rs: Final st: NotStopd
t0: [02:00:00 24/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 24/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [02:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [02:00:00 24/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 24/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 24/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 24/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [04:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 24/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 24/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 24/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 24/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [04:00:00 24/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [04:00:00 24/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 24/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 24/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 24/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 24/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 24/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [04:00:00 24/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 24/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 24/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 24/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 24/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [05:00:00 24/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [05:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [05:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [04:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [04:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 24/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [04:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [02:00:00 26/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [06:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [06:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [06:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [06:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [06:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [06:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/11/2010] tf: [12:00:00 29/11/2010] dt: 7560 id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [06:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 19 vu: ml t0: [06:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [06:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [06:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 24/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [07:00:00 24/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [07:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [07:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [07:00:00 24/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [07:00:00 24/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [07:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [07:00:00 24/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [07:00:00 24/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:00:00 24/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.2 u1: L/min st: NotStopd t0: [07:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 24/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 24/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 24/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [07:00:00 24/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [07:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 24/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [07:00:00 24/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:00:00 24/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 24/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 24/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [08:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Agitated st: NotStopd t0: [08:00:00 24/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 24/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 24/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 24/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 24/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 24/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 24/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 24/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 24/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 90 degrees st: NotStopd t0: [08:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 24/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 90 degrees st: NotStopd t0: [08:00:00 24/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 24/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 24/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 24/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 24/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [08:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 24/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 24/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [08:00:00 24/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [08:00:00 24/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [08:00:00 24/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [08:00:00 24/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 90 u1: % st: NotStopd t0: [08:00:00 24/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Green v2: Thin st: NotStopd t0: [08:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 24/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 24/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 24/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 24/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:31:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [08:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 24/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [08:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [08:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:31:00 24/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 13.8207 u1: ml/dl st: NotStopd t0: [08:31:00 24/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.02 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [08:31:00 24/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 94 u1: % rs: Final st: NotStopd
t0: [08:00:00 24/11/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 24/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd
t0: [09:00:00 24/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [09:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [09:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [09:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [09:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [09:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [09:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [09:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 24/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 24/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 24/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 12 st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 24/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [08:00:00 24/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 24/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 24/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 24/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 24/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [08:00:00 24/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 24/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 24/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [09:00:00 24/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 24/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 24/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [09:00:00 24/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [09:00:00 24/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 24/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [09:00:00 24/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [10:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [10:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [10:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [10:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 14 st: NotStopd t0: [10:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.8 u1: torr st: NotStopd t0: [10:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [10:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [10:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [10:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [10:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [10:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [10:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 24/11/2010] tf: [00:00:00 28/11/2010] dt: 5160 id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml t0: [10:00:00 24/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [10:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 100 ap: none
tf: [09:00:00 25/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Lorazepam v1: 1 u1: mg
t0: [10:00:00 24/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Culture/remarks st: NotStopd t0: [10:30:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [10:30:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:30:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:30:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:30:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [10:30:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [10:30:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:30:00 24/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [10:30:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [11:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 25/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm tf: [21:00:00 31/12/2010] pt: Unit Dose rt: IH fr: Q4H:PRN m1: Albuterol-Ipratropium v1: 8-12 u1: PUFF
t0: [11:00:00 24/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [11:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [11:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [11:00:00 24/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [11:00:00 24/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [11:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [11:00:00 24/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [11:00:00 24/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [11:00:00 24/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 24/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.9 u1: L/min st: NotStopd t0: [11:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 24/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 24/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:00:00 24/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [11:00:00 24/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Other/Remarks v2: Thick st: NotStopd t0: [11:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 24/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [11:00:00 24/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 24/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
id: Levophed-k el: 300 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
tf: [20:00:00 04/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
id: D5W el: 3 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 24/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [11:30:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [11:30:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:30:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:30:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:30:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:30:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [11:30:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [11:30:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:30:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:30:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 24/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Bronchoscopy st: NotStopd t0: [12:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [12:30:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:30:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:30:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [12:30:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:30:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:30:00 24/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [12:30:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [12:30:00 24/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:30:00 24/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [12:30:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:30:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:30:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 24/11/2010] tf: [21:17:00 07/12/2010] dt: 19307 id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 24/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 250 vu: ml t0: [11:30:00 24/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [23:00:00 24/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 250 ap: none
t0: [12:39:00 24/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [12:39:00 24/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 9.66312 u1: ml/dl st: NotStopd t0: [12:39:00 24/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 66 u1: % rs: Final st: NotStopd
t0: [13:12:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 9.77472 u1: ml/dl st: NotStopd t0: [13:12:00 24/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [13:12:00 24/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [12:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [12:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [12:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [12:00:00 24/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [12:39:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: RN v1: 7.34 rs: Final st: NotStopd t0: [12:39:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: RN v1: 7.34 rs: Final st: NotStopd
t0: [10:00:00 24/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [12:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [12:00:00 24/11/2010] tf: [14:00:00 27/11/2010] dt: 4440 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [12:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [12:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [12:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [12:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.692 u1: kg x m st: NotStopd t0: [12:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.19626 u1: ... st: NotStopd t0: [12:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 45.0432 u1: g * m st: NotStopd t0: [12:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.028 u1: g*m/m2 st: NotStopd t0: [12:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 1.36 u1: kg * m st: NotStopd t0: [12:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.635514 u1: ... st: NotStopd t0: [12:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 13.056 u1: g * m st: NotStopd t0: [12:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 6.1215 u1: g*m/m2 st: NotStopd t0: [12:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: ... st: NotStopd t0: [12:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 784 u1: ... st: NotStopd t0: [12:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1675.21 u1: ... st: NotStopd t0: [12:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 47.619 u1: ml st: NotStopd t0: [12:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [12:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd t0: [12:39:00 24/11/2010] id: DO2 el: 0 cu: C-SICU cg: RN v1: 500 u1: ml/min st: NotStopd t0: [12:39:00 24/11/2010] id: DO2I el: 0 cu: C-SICU cg: RN v1: 234 u1: ml/m/m st: NotStopd t0: [12:39:00 24/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: RN v1: 500 u1: ml/min st: NotStopd t0: [12:39:00 24/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: RN v1: 233.645 u1: ml/m/m st: NotStopd t0: [12:39:00 24/11/2010] id: O2AV el: 0 cu: C-SICU cg: RN v1: 500 u1: ml/min st: NotStopd t0: [12:39:00 24/11/2010] id: O2AVI el: 0 cu: C-SICU cg: RN v1: 233.645 u1: ml/m/m st: NotStopd t0: [13:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [13:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [13:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [13:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [13:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.1111 u1: Deg. C st: NotStopd t0: [13:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.2 u1: Deg. F st: NotStopd t0: [13:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 24/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [15:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [15:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 24/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [15:00:00 24/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [15:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [15:00:00 24/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [15:00:00 24/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [15:00:00 24/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [15:00:00 24/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.4 u1: L/min st: NotStopd t0: [15:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 24/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 24/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:00:00 24/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [15:00:00 24/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:00:00 24/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [15:00:00 24/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 24/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 24/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 24/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 24/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 24/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 24/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 24/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 24/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 24/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [12:00:00 24/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 24/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 24/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 24/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 24/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 24/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 24/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 24/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 24/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 24/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 24/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 24/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 24/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 24/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 24/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [12:00:00 24/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 24/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 24/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 24/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 24/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 24/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [12:00:00 24/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 24/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 24/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 24/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 24/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 24/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [12:00:00 24/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 66 rs: Manual st: NotStopd t0: [14:00:00 24/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 24/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [14:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [14:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [14:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 24/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 24/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [14:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [15:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [15:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [15:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.732 u1: kg x m st: NotStopd t0: [15:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [15:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.8952 u1: g * m st: NotStopd t0: [15:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [15:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [15:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [15:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [15:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [15:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [15:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.72 u1: kg * m st: NotStopd t0: [15:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.27103 u1: ... st: NotStopd t0: [15:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.392 u1: g * m st: NotStopd t0: [15:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.9346 u1: g*m/m2 st: NotStopd t0: [15:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [15:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: ... st: NotStopd t0: [15:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1216 u1: ... st: NotStopd t0: [15:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2598.29 u1: ... st: NotStopd t0: [15:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 43.4783 u1: ml st: NotStopd t0: [15:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [14:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [14:00:00 24/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [14:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [14:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 24/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [14:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:44:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [15:44:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [15:44:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [15:44:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [15:44:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [15:44:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [15:00:00 24/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 111.9 u1: kg st: NotStopd t0: [16:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd
t0: [16:00:00 24/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 24/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [16:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [16:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 24/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 24/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 24/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 24/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 24/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 24/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 24/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 24/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 24/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 24/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 24/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 135 t0: [16:00:00 24/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 24/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 24/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 24/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 24/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 24/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 24/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 24/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 24/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 24/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [16:00:00 24/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 24/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 24/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [16:00:00 24/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 24/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.99488 u1: kg x m st: NotStopd t0: [16:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [16:00:00 24/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 24/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 24/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.7472 u1: g * m st: NotStopd t0: [16:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [16:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 24/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 24/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [16:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:00:00 24/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [16:00:00 24/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [16:00:00 24/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 24/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 24/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [16:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.99744 u1: kg * m st: NotStopd t0: [16:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.40187 u1: ... st: NotStopd t0: [16:00:00 24/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 24/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 24/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.8736 u1: g * m st: NotStopd t0: [16:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.5701 u1: g*m/m2 st: NotStopd t0: [16:00:00 24/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [16:00:00 24/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [16:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: ... st: NotStopd t0: [16:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 758.621 u1: ... st: NotStopd t0: [16:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1623.62 u1: ... st: NotStopd t0: [16:00:00 24/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 24/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.7857 u1: ml st: NotStopd t0: [16:00:00 24/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.1667 u1: Deg. C st: NotStopd t0: [16:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.3 u1: Deg. F st: NotStopd t0: [16:00:00 24/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [16:00:00 24/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 24/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 24/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 96 rs: Manual st: NotStopd t0: [16:00:00 24/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 24/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 24/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 24/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 24/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 24/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 24/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 24/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [16:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [16:00:00 24/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [16:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [16:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 24/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [16:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:46:00 24/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 66.1 rs: Final st: NotStopd t0: [15:46:00 24/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 66.1 rs: Final st: NotStopd
t0: [16:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 61 u1: % st: NotStopd t0: [17:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [17:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [17:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 24/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [17:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [17:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 135 t0: [17:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.92048 u1: kg x m st: NotStopd t0: [17:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [17:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 41.9152 u1: g * m st: NotStopd t0: [17:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 19.6262 u1: g*m/m2 st: NotStopd t0: [17:00:00 24/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [17:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [17:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [17:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.5704 u1: kg * m st: NotStopd t0: [17:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.20093 u1: ... st: NotStopd t0: [17:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.896 u1: g * m st: NotStopd t0: [17:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.2336 u1: g*m/m2 st: NotStopd t0: [17:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 21.4953 u1: ... st: NotStopd t0: [17:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 696.296 u1: ... st: NotStopd t0: [17:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1492.06 u1: ... st: NotStopd t0: [17:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 45.7627 u1: ml st: NotStopd t0: [17:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 60 u1: % st: NotStopd t0: [17:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2778 u1: Deg. C st: NotStopd t0: [17:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.5 u1: Deg. F st: NotStopd t0: [17:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [17:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 24/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RN v1: 8 v2: Combivent st: NotStopd
t0: [18:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [18:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [18:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [18:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 137 t0: [18:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.19384 u1: kg x m st: NotStopd t0: [18:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [18:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 48.2936 u1: g * m st: NotStopd t0: [18:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [18:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [18:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [18:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [18:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.63568 u1: kg * m st: NotStopd t0: [18:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23364 u1: ... st: NotStopd t0: [18:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.5072 u1: g * m st: NotStopd t0: [18:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [18:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [18:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 659.649 u1: ... st: NotStopd t0: [18:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1413.53 u1: ... st: NotStopd t0: [18:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 52.7778 u1: ml st: NotStopd t0: [18:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 59 u1: % st: NotStopd t0: [18:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [18:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [18:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [18:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [18:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [18:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [18:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:45:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [19:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [19:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 134 t0: [19:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.59816 u1: kg x m st: NotStopd t0: [19:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.14953 u1: ... st: NotStopd t0: [19:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 44.1048 u1: g * m st: NotStopd t0: [19:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.5607 u1: g*m/m2 st: NotStopd t0: [19:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [19:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [19:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [19:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.19912 u1: kg * m st: NotStopd t0: [19:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.02804 u1: ... st: NotStopd t0: [19:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.0936 u1: g * m st: NotStopd t0: [19:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.85981 u1: g*m/m2 st: NotStopd t0: [19:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: ... st: NotStopd t0: [19:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 832.653 u1: ... st: NotStopd t0: [19:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1781.66 u1: ... st: NotStopd t0: [19:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 47.1154 u1: ml st: NotStopd t0: [19:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [19:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [19:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [19:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [19:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:53:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [19:53:00 24/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [20:00:00 24/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 24/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [20:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [20:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 24/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 24/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 24/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 24/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 24/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 24/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 24/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 24/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 24/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 24/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [20:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 130 t0: [20:00:00 24/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 24/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 24/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 24/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.90336 u1: kg x m st: NotStopd t0: [20:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [20:00:00 24/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 24/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.2496 u1: g * m st: NotStopd t0: [20:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [20:00:00 24/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 24/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 24/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [20:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [20:00:00 24/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [20:00:00 24/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [20:00:00 24/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 24/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [20:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [20:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 24/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [20:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.79072 u1: kg * m st: NotStopd t0: [20:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.30374 u1: ... st: NotStopd t0: [20:00:00 24/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 24/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.7392 u1: g * m st: NotStopd t0: [20:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6075 u1: g*m/m2 st: NotStopd t0: [20:00:00 24/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 24/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 20.5607 u1: ... st: NotStopd t0: [20:00:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [20:00:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [20:00:00 24/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 24/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 44.2623 u1: ml st: NotStopd t0: [20:00:00 24/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 62 u1: % st: NotStopd t0: [20:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [20:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [20:00:00 24/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 24/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 24/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 24/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [20:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 24/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 37.125 vu: ml t0: [20:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [20:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [20:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:53:00 24/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.3 u1: % rs: Final st: NotStopd
t0: [21:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [21:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [21:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 135 t0: [21:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.78912 u1: kg x m st: NotStopd t0: [21:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [21:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.344 u1: g * m st: NotStopd t0: [21:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [21:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [21:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [21:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [21:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.30752 u1: kg * m st: NotStopd t0: [21:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.54673 u1: ... st: NotStopd t0: [21:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.424 u1: g * m st: NotStopd t0: [21:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.271 u1: g*m/m2 st: NotStopd t0: [21:00:00 24/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [21:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [21:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.1724 u1: ml st: NotStopd t0: [21:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [21:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [21:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [21:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [21:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 24/11/2010] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 24/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [22:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [22:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 126 u1: BPM st: NotStopd t0: [22:00:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 133 t0: [22:00:00 24/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 24/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [22:00:00 24/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 24/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.38072 u1: kg x m st: NotStopd t0: [22:00:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.45794 u1: ... st: NotStopd t0: [22:00:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.3848 u1: g * m st: NotStopd t0: [22:00:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [22:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [22:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [22:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [22:00:00 24/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [22:00:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.55368 u1: kg * m st: NotStopd t0: [22:00:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.65888 u1: ... st: NotStopd t0: [22:00:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.1112 u1: g * m st: NotStopd t0: [22:00:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.1308 u1: g*m/m2 st: NotStopd t0: [22:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:00:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [22:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 53.1746 u1: ml st: NotStopd t0: [22:00:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [22:00:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [22:00:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [22:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 93 rs: Manual st: NotStopd t0: [22:00:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [22:00:00 24/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 24/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [22:00:00 24/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [22:00:00 24/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 24/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [22:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 24/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [20:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [20:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [20:00:00 24/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 24/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [20:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [20:00:00 24/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 24/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [20:00:00 24/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.9 u1: L/min st: NotStopd t0: [20:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 24/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 24/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:00:00 24/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [20:00:00 24/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 24/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [22:00:00 24/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [22:00:00 24/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [22:00:00 24/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [22:00:00 24/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [22:00:00 24/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [22:00:00 24/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [22:00:00 24/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [22:00:00 24/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 24/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [22:00:00 24/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [22:00:00 24/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [22:00:00 24/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.3 u1: L/min st: NotStopd t0: [22:00:00 24/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [22:00:00 24/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [22:00:00 24/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [22:00:00 24/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [22:00:00 24/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [22:00:00 24/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 759 u1: ml/B st: NotStopd t0: [22:00:00 24/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [22:00:00 24/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 24/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 100 vu: ml nb: 1
t0: [20:00:00 24/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 24/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 24/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 24/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 24/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 24/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 24/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 24/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
tf: [22:00:00 25/11/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [23:31:00 24/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [23:31:00 24/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd
t0: [23:00:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [23:00:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [23:00:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [23:00:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [23:00:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [23:00:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [23:00:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 24/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:30:00 24/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [23:30:00 24/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [23:30:00 24/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 24/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 24/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [23:30:00 24/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:30:00 24/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [23:30:00 24/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 24/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 141 t0: [23:30:00 24/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 8.68496 u1: kg x m st: NotStopd t0: [23:30:00 24/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 4.06542 u1: ... st: NotStopd t0: [23:30:00 24/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 71.4408 u1: g * m st: NotStopd t0: [23:30:00 24/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 33.1776 u1: g*m/m2 st: NotStopd t0: [23:30:00 24/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [23:30:00 24/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [23:30:00 24/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [23:30:00 24/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [23:30:00 24/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:30:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [23:30:00 24/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.87872 u1: kg * m st: NotStopd t0: [23:30:00 24/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.81308 u1: ... st: NotStopd t0: [23:30:00 24/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 31.9056 u1: g * m st: NotStopd t0: [23:30:00 24/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.9065 u1: g*m/m2 st: NotStopd t0: [23:30:00 24/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [23:30:00 24/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [23:30:00 24/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1045.16 u1: ... st: NotStopd t0: [23:30:00 24/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2234.48 u1: ... st: NotStopd t0: [23:30:00 24/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [23:30:00 24/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Green v2: Thin st: NotStopd t0: [23:30:00 24/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:30:00 24/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.8197 u1: ml st: NotStopd t0: [23:30:00 24/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 59 u1: % st: NotStopd t0: [23:30:00 24/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:30:00 24/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [23:30:00 24/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [23:30:00 24/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 24/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [23:00:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:30:00 24/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 24/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [00:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [00:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 25/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 25/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 25/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 25/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 25/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 25/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 25/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 25/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 25/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 125 u1: BPM st: NotStopd t0: [00:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 129 t0: [00:00:00 25/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 25/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.40736 u1: kg x m st: NotStopd t0: [00:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [00:00:00 25/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 25/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 43.452 u1: g * m st: NotStopd t0: [00:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: g*m/m2 st: NotStopd t0: [00:00:00 25/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 25/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [00:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [00:00:00 25/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 25/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 25/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.89408 u1: kg * m st: NotStopd t0: [00:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.35047 u1: ... st: NotStopd t0: [00:00:00 25/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 25/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.256 u1: g * m st: NotStopd t0: [00:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [00:00:00 25/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 25/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 21.028 u1: ... st: NotStopd t0: [00:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 714.286 u1: ... st: NotStopd t0: [00:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1526.72 u1: ... st: NotStopd t0: [00:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 25/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 44.8 u1: ml st: NotStopd t0: [00:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [00:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 25/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 25/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [00:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [00:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 25/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [00:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [00:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [00:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 360 ap: none
t0: [00:00:00 25/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [00:00:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:00:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [00:00:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [00:00:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [00:00:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [00:00:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [00:00:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.3 u1: L/min st: NotStopd t0: [00:00:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 705 u1: ml/B st: NotStopd t0: [00:00:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [23:30:00 24/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Resp Distress st: NotStopd
t0: [00:33:00 25/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [00:33:00 25/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [00:33:00 25/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [00:33:00 25/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [00:33:00 25/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [00:33:00 25/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [00:35:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:35:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:35:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:35:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:35:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:35:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [00:35:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [00:35:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:35:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:35:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:35:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [00:35:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:35:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:35:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:35:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [01:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [01:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [01:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PNC's st: NotStopd t0: [01:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [01:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 123 t0: [01:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.41512 u1: kg x m st: NotStopd t0: [01:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [01:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.0472 u1: g * m st: NotStopd t0: [01:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: g*m/m2 st: NotStopd t0: [01:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [01:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [01:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [01:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.8832 u1: kg * m st: NotStopd t0: [01:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34579 u1: ... st: NotStopd t0: [01:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.392 u1: g * m st: NotStopd t0: [01:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.9346 u1: g*m/m2 st: NotStopd t0: [01:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [01:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: ... st: NotStopd t0: [01:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 1011.32 u1: ... st: NotStopd t0: [01:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2161.29 u1: ... st: NotStopd t0: [01:00:00 25/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Resp Distress st: NotStopd t0: [01:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 43.4426 u1: ml st: NotStopd t0: [01:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [01:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [01:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [01:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.3 u1: L/min st: NotStopd
t0: [01:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 2.8125 vu: ml t0: [01:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [01:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [01:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:45:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:45:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:45:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [00:45:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [00:45:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:45:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [00:45:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:45:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:45:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [00:45:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:45:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:45:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.6 u1: L/min st: NotStopd t0: [00:45:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:45:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:45:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:45:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:45:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:45:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:45:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 789 u1: ml/B st: NotStopd t0: [00:45:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:45:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [02:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [02:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [02:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [02:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 127 u1: BPM st: NotStopd t0: [02:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 140 t0: [02:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.91424 u1: kg x m st: NotStopd t0: [02:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [02:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 54.6448 u1: g * m st: NotStopd t0: [02:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: g*m/m2 st: NotStopd t0: [02:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [02:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [02:00:00 25/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [02:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.3728 u1: kg * m st: NotStopd t0: [02:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.57477 u1: ... st: NotStopd t0: [02:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.656 u1: g * m st: NotStopd t0: [02:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.4766 u1: g*m/m2 st: NotStopd t0: [02:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [02:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.8972 u1: ... st: NotStopd t0: [02:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 761.29 u1: ... st: NotStopd t0: [02:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1627.59 u1: ... st: NotStopd t0: [02:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 48.8189 u1: ml st: NotStopd t0: [02:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [02:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [02:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [02:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [02:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [02:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [02:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [02:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:52:00 25/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 14.4492 u1: ml/dl st: NotStopd t0: [02:52:00 25/11/2010] id: DO2 el: 0 cu: C-SICU cg: 3161 v1: 868 u1: ml/min st: NotStopd t0: [02:52:00 25/11/2010] id: DO2I el: 0 cu: C-SICU cg: 3161 v1: 406 u1: ml/m/m st: NotStopd t0: [02:52:00 25/11/2010] id: zzO2AV el: 0 cu: C-SICU cg: 3161 v1: 868 u1: ml/min st: NotStopd t0: [02:52:00 25/11/2010] id: zzO2AVI el: 0 cu: C-SICU cg: 3161 v1: 405.607 u1: ml/m/m st: NotStopd t0: [02:52:00 25/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: O2AV el: 0 cu: C-SICU cg: 3161 v1: 868 u1: ml/min st: NotStopd t0: [02:52:00 25/11/2010] id: O2AVI el: 0 cu: C-SICU cg: 3161 v1: 405.607 u1: ml/m/m st: NotStopd t0: [02:52:00 25/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:52:00 25/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [03:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 25/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 25/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [03:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 126 t0: [03:00:00 25/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 25/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.13184 u1: kg x m st: NotStopd t0: [03:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [03:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.8816 u1: g * m st: NotStopd t0: [03:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [03:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [03:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 25/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 25/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 25/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [03:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.19056 u1: kg * m st: NotStopd t0: [03:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.49065 u1: ... st: NotStopd t0: [03:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.8944 u1: g * m st: NotStopd t0: [03:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1028 u1: g*m/m2 st: NotStopd t0: [03:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [03:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [03:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 672.464 u1: ... st: NotStopd t0: [03:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1440.99 u1: ... st: NotStopd t0: [03:00:00 25/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [03:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.6452 u1: ml st: NotStopd t0: [03:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [03:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [03:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [03:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 25/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 25/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [03:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [03:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [03:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [03:00:00 25/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: RN ai: 209 vo: 500 vu: ml t0: [03:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [03:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 25/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1894.81 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 4394.81 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1640 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1467 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: -72.1875 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 4467 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none t0: [23:00:00 25/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 57208.3 ap: carryForward
tf: [02:00:00 26/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Albumin 5% (12.5gm) v1: 25 u1: gm
t0: [03:00:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [03:00:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [03:00:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [03:00:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [03:00:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [03:00:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:00:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [03:00:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [03:00:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [03:00:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [03:00:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.6 u1: L/min st: NotStopd t0: [03:00:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [03:00:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [03:00:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [03:00:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [03:00:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:00:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 639 u1: ml/B st: NotStopd t0: [03:00:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [03:10:00 25/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 25.1 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 25.1 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.6 u1: % rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 209 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 25.1 rs: Final st: NotStopd
t0: [03:10:00 25/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1070 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 231 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [03:10:00 25/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21.6 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21.6 rs: Final st: NotStopd
t0: [04:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [04:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 25/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 25/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 25/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [04:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 25/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 25/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 25/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 25/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 25/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 25/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 25/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [04:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 156 t0: [04:00:00 25/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 25/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.23968 u1: kg x m st: NotStopd t0: [04:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [04:00:00 25/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 25/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.3392 u1: g * m st: NotStopd t0: [04:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [04:00:00 25/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 25/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [04:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [04:00:00 25/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 25/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 25/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [04:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.86688 u1: kg * m st: NotStopd t0: [04:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34112 u1: ... st: NotStopd t0: [04:00:00 25/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 25/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.5072 u1: g * m st: NotStopd t0: [04:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [04:00:00 25/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 25/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [04:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 735.484 u1: ... st: NotStopd t0: [04:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1572.41 u1: ... st: NotStopd t0: [04:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 25/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 25/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Green v2: Thin st: NotStopd t0: [04:00:00 25/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 52.5424 u1: ml st: NotStopd t0: [04:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 63 u1: % st: NotStopd t0: [04:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [04:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [04:00:00 25/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 25/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [04:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [04:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [04:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [04:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:10:00 25/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 68.7 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [03:10:00 25/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 68.7 rs: Final st: NotStopd
t0: [05:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [05:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 141 t0: [05:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.83168 u1: kg x m st: NotStopd t0: [05:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [05:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.9648 u1: g * m st: NotStopd t0: [05:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [05:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [05:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [05:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 111.9 u1: kg st: NotStopd t0: [05:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.82472 u1: kg * m st: NotStopd t0: [05:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.31776 u1: ... st: NotStopd t0: [05:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.1392 u1: g * m st: NotStopd t0: [05:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [05:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [05:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 561.194 u1: ... st: NotStopd t0: [05:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1201.28 u1: ... st: NotStopd t0: [05:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.037 u1: ml st: NotStopd t0: [05:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [05:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [05:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [05:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [05:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [05:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [05:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [05:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:30:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [05:30:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:30:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [05:30:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [05:30:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:30:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [05:30:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:30:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [05:30:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [05:30:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:30:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:30:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.7 u1: L/min st: NotStopd t0: [05:30:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:30:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:30:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:30:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:30:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:30:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:30:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 659 u1: ml/B st: NotStopd t0: [05:30:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:30:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [06:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [06:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 139 t0: [06:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.55248 u1: kg x m st: NotStopd t0: [06:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [06:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.5824 u1: g * m st: NotStopd t0: [06:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [06:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [06:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [06:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 25/11/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.05184 u1: kg * m st: NotStopd t0: [06:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.42523 u1: ... st: NotStopd t0: [06:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.8192 u1: g * m st: NotStopd t0: [06:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.5234 u1: g*m/m2 st: NotStopd t0: [06:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [06:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 666.667 u1: ... st: NotStopd t0: [06:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1428.57 u1: ... st: NotStopd t0: [06:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.8947 u1: ml st: NotStopd t0: [06:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [06:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [06:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [06:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [06:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10.125 vu: ml t0: [06:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [06:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 25/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 615 vu: ml
t0: [06:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 25/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [06:00:00 25/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [06:00:00 25/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [06:00:00 25/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 25/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [06:00:00 25/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [06:00:00 25/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 25/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 25/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [06:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [06:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 25/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 25/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.57951 u1: m2 st: NotStopd t0: [06:00:00 25/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.83503 u1: m2 st: NotStopd t0: [06:00:00 25/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 25/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [06:00:00 25/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 25/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 25/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 25/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [06:00:00 25/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 25/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [06:00:00 25/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [06:00:00 25/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: RN v1: 75 rs: Manual st: NotStopd t0: [06:00:00 25/11/2010] id: C.O. (fick) el: 0 cu: C-SICU cg: RN v1: 7.53309 u1: L/min st: NotStopd
t0: [07:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [07:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [07:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [07:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 139 t0: [07:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.28728 u1: kg x m st: NotStopd t0: [07:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [07:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.1392 u1: g * m st: NotStopd t0: [07:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [07:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [07:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [07:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [07:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.00288 u1: kg * m st: NotStopd t0: [07:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.40187 u1: ... st: NotStopd t0: [07:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.7232 u1: g * m st: NotStopd t0: [07:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.4112 u1: g*m/m2 st: NotStopd t0: [07:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 30.8411 u1: ... st: NotStopd t0: [07:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 591.304 u1: ... st: NotStopd t0: [07:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1267.08 u1: ... st: NotStopd t0: [07:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 66.3462 u1: ml st: NotStopd t0: [07:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [07:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [07:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [07:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [07:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.27103 u1: ... st: NotStopd t0: [08:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [08:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 151 t0: [08:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.8544 u1: kg x m st: NotStopd t0: [08:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [08:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.752 u1: g * m st: NotStopd t0: [08:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [08:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [08:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [08:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [08:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.1416 u1: kg * m st: NotStopd t0: [08:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.46729 u1: ... st: NotStopd t0: [08:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.928 u1: g * m st: NotStopd t0: [08:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.5701 u1: g*m/m2 st: NotStopd t0: [08:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [08:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 651.429 u1: ... st: NotStopd t0: [08:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1394.5 u1: ... st: NotStopd t0: [08:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.8291 u1: ml st: NotStopd t0: [08:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [08:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [08:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [08:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 25/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 13.5 vu: ml t0: [08:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 120 vu: ml t0: [08:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [08:00:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [08:00:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [08:00:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [08:00:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [08:00:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 25/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Other/Remarks v2: Thick st: NotStopd t0: [08:00:00 25/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 682 u1: ml/B st: NotStopd t0: [08:00:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [09:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [09:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [09:00:00 25/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [09:00:00 25/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 25/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [09:00:00 25/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [09:00:00 25/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [09:00:00 25/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 25/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [09:00:00 25/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [09:00:00 25/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [09:00:00 25/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [09:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 129 u1: BPM st: NotStopd t0: [09:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 150 t0: [09:00:00 25/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 25/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [09:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.84352 u1: kg x m st: NotStopd t0: [09:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [09:00:00 25/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [09:00:00 25/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 25/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.3392 u1: g * m st: NotStopd t0: [09:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [09:00:00 25/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 25/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 25/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 25/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [09:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [09:00:00 25/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [09:00:00 25/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [09:00:00 25/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [09:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [09:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.14432 u1: kg * m st: NotStopd t0: [09:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.46729 u1: ... st: NotStopd t0: [09:00:00 25/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [09:00:00 25/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 25/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.5072 u1: g * m st: NotStopd t0: [09:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [09:00:00 25/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [09:00:00 25/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: ... st: NotStopd t0: [09:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 658.824 u1: ... st: NotStopd t0: [09:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1408.81 u1: ... st: NotStopd t0: [09:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 25/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 52.7132 u1: ml st: NotStopd t0: [09:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 77 u1: % st: NotStopd t0: [09:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [09:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [09:00:00 25/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [09:00:00 25/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 25/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 25/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [09:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [09:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [09:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [09:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [09:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [09:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 25/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 9, 21 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [08:00:00 25/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 25/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 25/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 25/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 25/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 25/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 25/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 25/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 25/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 25/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 25/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 25/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 25/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 25/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 25/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 25/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 25/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 25/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 25/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 25/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 25/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [08:00:00 25/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [08:00:00 25/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 25/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 25/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 25/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [09:00:00 25/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [09:00:00 25/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 25/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 25/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [10:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [10:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [10:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [10:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 145 t0: [10:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.65176 u1: kg x m st: NotStopd t0: [10:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [10:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.4056 u1: g * m st: NotStopd t0: [10:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [10:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [10:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [10:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [10:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.17696 u1: kg * m st: NotStopd t0: [10:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.48598 u1: ... st: NotStopd t0: [10:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.4176 u1: g * m st: NotStopd t0: [10:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.8037 u1: g*m/m2 st: NotStopd t0: [10:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: ... st: NotStopd t0: [10:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 536.986 u1: ... st: NotStopd t0: [10:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1149.56 u1: ... st: NotStopd t0: [10:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.4783 u1: ml st: NotStopd t0: [10:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [10:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [10:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [10:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [10:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [10:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [10:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [10:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [10:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:24:00 25/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 113 u1: mmHg rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [10:24:00 25/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [10:24:00 25/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [11:00:00 25/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: RRT v1: Done st: NotStopd
t0: [11:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [11:00:00 25/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: Done t0: [11:00:00 25/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [11:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [11:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [11:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 135 u1: BPM st: NotStopd t0: [11:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 135 t0: [11:00:00 25/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 25/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [11:00:00 25/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 25/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [11:00:00 25/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [11:00:00 25/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [11:00:00 25/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 25/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 25/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 25/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 25/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [11:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.84352 u1: kg x m st: NotStopd t0: [11:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [11:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 50.32 u1: g * m st: NotStopd t0: [11:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: g*m/m2 st: NotStopd t0: [11:00:00 25/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [11:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [11:00:00 25/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [11:00:00 25/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [11:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 25/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 25/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 25/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [11:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.51424 u1: kg * m st: NotStopd t0: [11:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.64019 u1: ... st: NotStopd t0: [11:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.84 u1: g * m st: NotStopd t0: [11:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.0561 u1: g*m/m2 st: NotStopd t0: [11:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [11:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: ... st: NotStopd t0: [11:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 670.588 u1: ... st: NotStopd t0: [11:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1433.96 u1: ... st: NotStopd t0: [11:00:00 25/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.3704 u1: ml st: NotStopd t0: [11:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [11:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [11:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [11:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 25/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 25/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [11:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [11:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [11:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [11:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [11:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 25/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 25/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 25/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 25/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 25/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 25/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 25/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 25/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 25/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 25/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 25/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 25/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 25/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 25/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 25/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 25/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 25/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 25/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 25/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 25/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 25/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 25/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 25/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [12:00:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:00:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [12:00:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [12:00:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [12:00:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16 u1: L/min st: NotStopd t0: [12:00:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 25/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Other/Remarks v2: Thick st: NotStopd t0: [12:00:00 25/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 25/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous st: NotStopd t0: [08:00:00 25/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 25/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 25/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 25/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 25/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 25/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 25/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 25/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 25/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [12:00:00 25/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 25/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 25/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 25/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd
t0: [12:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [12:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [12:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [12:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [12:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 148 t0: [12:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.2832 u1: kg x m st: NotStopd t0: [12:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [12:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.168 u1: g * m st: NotStopd t0: [12:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [12:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [12:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [12:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [12:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.87232 u1: kg * m st: NotStopd t0: [12:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34112 u1: ... st: NotStopd t0: [12:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.6768 u1: g * m st: NotStopd t0: [12:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.0093 u1: g*m/m2 st: NotStopd t0: [12:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [12:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 630.303 u1: ... st: NotStopd t0: [12:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1350.65 u1: ... st: NotStopd t0: [12:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.9286 u1: ml st: NotStopd t0: [12:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 76 u1: % st: NotStopd t0: [12:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [12:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [12:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [12:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [13:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [13:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 134 t0: [13:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.72424 u1: kg x m st: NotStopd t0: [13:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [13:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.304 u1: g * m st: NotStopd t0: [13:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [13:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [13:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [13:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [13:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.4888 u1: kg * m st: NotStopd t0: [13:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.16355 u1: ... st: NotStopd t0: [13:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.48 u1: g * m st: NotStopd t0: [13:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [13:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [13:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 668.852 u1: ... st: NotStopd t0: [13:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1431.58 u1: ... st: NotStopd t0: [13:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 60.396 u1: ml st: NotStopd t0: [13:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 75 u1: % st: NotStopd t0: [13:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [13:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [13:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [13:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [13:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [13:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [13:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 4, 16 dn: 2 m1: Linezolid v1: 600 u1: mg m2: D5W v2: 300 u2: ml
t0: [14:00:00 25/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [14:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 146 t0: [14:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.10368 u1: kg x m st: NotStopd t0: [14:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [14:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.3376 u1: g * m st: NotStopd t0: [14:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.6355 u1: g*m/m2 st: NotStopd t0: [14:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [14:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [14:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [14:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.6928 u1: kg * m st: NotStopd t0: [14:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.25701 u1: ... st: NotStopd t0: [14:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.296 u1: g * m st: NotStopd t0: [14:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.8224 u1: g*m/m2 st: NotStopd t0: [14:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [14:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.6822 u1: ml st: NotStopd t0: [14:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [14:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [14:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [14:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [12:00:00 25/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [14:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.75 vu: ml t0: [14:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [14:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 25/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [14:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [14:26:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [14:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 25/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [15:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [15:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [15:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 139 t0: [15:00:00 25/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 25/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [15:00:00 25/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 25/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [15:00:00 25/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 25/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [15:00:00 25/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 25/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 25/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.44096 u1: kg x m st: NotStopd t0: [15:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [15:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.3776 u1: g * m st: NotStopd t0: [15:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [15:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [15:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [15:00:00 25/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [15:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [15:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.78528 u1: kg * m st: NotStopd t0: [15:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.30374 u1: ... st: NotStopd t0: [15:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.6768 u1: g * m st: NotStopd t0: [15:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.0093 u1: g*m/m2 st: NotStopd t0: [15:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [15:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 737.5 u1: ... st: NotStopd t0: [15:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1578.6 u1: ... st: NotStopd t0: [15:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.2593 u1: ml st: NotStopd t0: [15:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [15:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [15:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [15:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [15:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:00:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [16:00:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:00:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [16:00:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [16:00:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [16:00:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [16:00:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 25/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Other/Remarks v2: Thin st: NotStopd t0: [16:00:00 25/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 740 u1: ml/B st: NotStopd t0: [16:00:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 25/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [16:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 25/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 25/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 25/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 25/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 25/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 25/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 25/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 25/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 25/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 25/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 137 t0: [16:00:00 25/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 25/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 25/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 25/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 25/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 25/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 25/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 25/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 25/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 25/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 25/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 25/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Reinforced st: NotStopd t0: [16:00:00 25/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.57696 u1: kg x m st: NotStopd t0: [16:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [16:00:00 25/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 25/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.344 u1: g * m st: NotStopd t0: [16:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [16:00:00 25/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [16:00:00 25/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 25/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [16:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [16:00:00 25/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 25/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 25/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 25/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 25/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 25/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 25/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [16:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.78256 u1: kg * m st: NotStopd t0: [16:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.29907 u1: ... st: NotStopd t0: [16:00:00 25/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 25/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.684 u1: g * m st: NotStopd t0: [16:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5421 u1: g*m/m2 st: NotStopd t0: [16:00:00 25/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 25/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [16:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 25/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.3571 u1: ml st: NotStopd t0: [16:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [16:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 25/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 25/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 25/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [16:00:00 25/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 25/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 25/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 25/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 25/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 25/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 25/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 25/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd t0: [17:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [17:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [17:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 137 t0: [17:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.84352 u1: kg x m st: NotStopd t0: [17:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [17:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 62.3968 u1: g * m st: NotStopd t0: [17:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: g*m/m2 st: NotStopd t0: [17:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [17:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [17:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.86688 u1: kg * m st: NotStopd t0: [17:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.34112 u1: ... st: NotStopd t0: [17:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.1392 u1: g * m st: NotStopd t0: [17:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [17:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [17:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 61.8182 u1: ml st: NotStopd t0: [17:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [17:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [17:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [17:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [12:00:00 25/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [13:00:00 25/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 25/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [16:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 13.5 vu: ml t0: [16:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 140 vu: ml t0: [16:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 25/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [16:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [18:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 144 u1: BPM st: NotStopd t0: [18:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 137 t0: [18:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.74288 u1: kg x m st: NotStopd t0: [18:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [18:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.3008 u1: g * m st: NotStopd t0: [18:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: g*m/m2 st: NotStopd t0: [18:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [18:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [18:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [18:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.82472 u1: kg * m st: NotStopd t0: [18:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.31776 u1: ... st: NotStopd t0: [18:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.8152 u1: g * m st: NotStopd t0: [18:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.25234 u1: g*m/m2 st: NotStopd t0: [18:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: ... st: NotStopd t0: [18:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 704.478 u1: ... st: NotStopd t0: [18:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1507.99 u1: ... st: NotStopd t0: [18:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 46.5278 u1: ml st: NotStopd t0: [18:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [18:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [18:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [18:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd t0: [19:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [19:00:00 25/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [19:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [19:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [19:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [19:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 138 t0: [19:00:00 25/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 25/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.21344 u1: kg x m st: NotStopd t0: [19:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.36449 u1: ... st: NotStopd t0: [19:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.344 u1: g * m st: NotStopd t0: [19:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [19:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [19:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [19:00:00 25/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [19:00:00 25/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [19:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 25/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 25/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 25/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [19:00:00 25/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [19:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [19:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.32928 u1: kg * m st: NotStopd t0: [19:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.55607 u1: ... st: NotStopd t0: [19:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.928 u1: g * m st: NotStopd t0: [19:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.5701 u1: g*m/m2 st: NotStopd t0: [19:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [19:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [19:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54.8387 u1: ml st: NotStopd t0: [19:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [19:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [19:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [19:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [19:00:00 25/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [19:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 25/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [19:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd t0: [20:00:00 25/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 25/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [20:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 25/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 25/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 25/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 25/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 14 st: NotStopd t0: [20:00:00 25/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 25/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 25/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 25/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 25/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 25/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 25/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [20:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 137 t0: [20:00:00 25/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 25/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 25/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 25/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 25/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 25/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 25/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 25/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 25/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.74288 u1: kg x m st: NotStopd t0: [20:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [20:00:00 25/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [20:00:00 25/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.3584 u1: g * m st: NotStopd t0: [20:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [20:00:00 25/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [20:00:00 25/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 25/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [20:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.91584 u1: kg * m st: NotStopd t0: [20:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.36449 u1: ... st: NotStopd t0: [20:00:00 25/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [20:00:00 25/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.3712 u1: g * m st: NotStopd t0: [20:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4019 u1: g*m/m2 st: NotStopd t0: [20:00:00 25/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 25/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [20:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 704.478 u1: ... st: NotStopd t0: [20:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1507.99 u1: ... st: NotStopd t0: [20:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 25/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 25/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 25/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [20:00:00 25/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.3025 u1: ml st: NotStopd t0: [20:00:00 25/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Friend st: NotStopd t0: [20:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [20:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [20:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [20:00:00 25/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 25/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 25/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [16:00:00 25/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [16:00:00 25/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [18:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 13.5 vu: ml t0: [18:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 150 vu: ml t0: [18:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 25/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [20:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 27 vu: ml t0: [20:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 160 vu: ml t0: [20:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 25/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 185 vu: ml t0: [20:00:00 25/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [18:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 1000 ap: none t0: [23:00:00 25/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [20:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml nb: 1
t0: [20:00:00 25/11/2010] tf: [06:00:00 26/11/2010] dt: 600 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 04/12/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Imipenem-Cilastatin v1: 500 u1: mg m2: NS v2: 100 u2: ml
t0: [20:00:00 25/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: AaDO2 el: 0 cu: C-SICU cg: 3161 v1: 322.8 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: PAO2 el: 0 cu: C-SICU cg: 3161 v1: 397.8 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [20:00:00 25/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [19:00:00 25/11/2010] tf: [18:00:00 26/11/2010] dt: 1380 id: Drain Out #1 Tap el: 1 cu: C-SICU cg: RN vo: 2000 vu: ml
t0: [23:00:00 25/11/2010] dt: 24 id: Drain #1 Total Out el: 3 cu: C-SICU cg: RN cv: 2000 ap: none
t0: [21:37:00 25/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [21:37:00 25/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [21:37:00 25/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [21:37:00 25/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [21:37:00 25/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [21:37:00 25/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [21:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [21:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [21:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [21:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [21:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [21:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [21:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [21:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:44:00 25/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [21:44:00 25/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:44:00 25/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [21:44:00 25/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:44:00 25/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [21:44:00 25/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [21:44:00 25/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:44:00 25/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:44:00 25/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [21:44:00 25/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [21:44:00 25/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [21:44:00 25/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:44:00 25/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 22.6 u1: L/min st: NotStopd t0: [21:44:00 25/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:44:00 25/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [21:44:00 25/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [21:44:00 25/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 37 u1: BPM st: NotStopd t0: [21:44:00 25/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:44:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [21:44:00 25/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [21:44:00 25/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:44:00 25/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [21:44:00 25/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:44:00 25/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 25/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [19:00:00 25/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 25/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 25/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 25/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 25/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 25/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 25/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [21:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 136 t0: [21:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.66128 u1: kg x m st: NotStopd t0: [21:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [21:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 55.8688 u1: g * m st: NotStopd t0: [21:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [21:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.61392 u1: kg * m st: NotStopd t0: [21:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.21963 u1: ... st: NotStopd t0: [21:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.9232 u1: g * m st: NotStopd t0: [21:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.2336 u1: g*m/m2 st: NotStopd t0: [21:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: ... st: NotStopd t0: [21:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.6667 u1: ml st: NotStopd t0: [21:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [21:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd t0: [22:00:00 25/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [22:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [22:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 144 t0: [22:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.49944 u1: kg x m st: NotStopd t0: [22:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [22:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.1816 u1: g * m st: NotStopd t0: [22:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [22:00:00 25/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [22:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [22:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.72816 u1: kg * m st: NotStopd t0: [22:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.2757 u1: ... st: NotStopd t0: [22:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.5824 u1: g * m st: NotStopd t0: [22:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.028 u1: g*m/m2 st: NotStopd t0: [22:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [22:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [22:00:00 25/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 894.915 u1: ... st: NotStopd t0: [22:00:00 25/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1913.04 u1: ... st: NotStopd t0: [22:00:00 25/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.3043 u1: ml st: NotStopd t0: [22:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [22:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [22:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [22:00:00 25/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [22:00:00 25/11/2010] tf: [08:00:00 26/11/2010] dt: 600 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 25/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 25/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 25/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [22:00:00 25/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml t0: [22:00:00 25/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [22:00:00 25/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 25/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml
t0: [21:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 25/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 25/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [23:00:00 25/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [23:00:00 25/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 25/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [23:00:00 25/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 25/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 130 t0: [23:00:00 25/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.6576 u1: kg x m st: NotStopd t0: [23:00:00 25/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [23:00:00 25/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.872 u1: g * m st: NotStopd t0: [23:00:00 25/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [23:00:00 25/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [23:00:00 25/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [23:00:00 25/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 25/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 25/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [23:00:00 25/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3868 u1: kg * m st: NotStopd t0: [23:00:00 25/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.11682 u1: ... st: NotStopd t0: [23:00:00 25/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.196 u1: g * m st: NotStopd t0: [23:00:00 25/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.43925 u1: g*m/m2 st: NotStopd t0: [23:00:00 25/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [23:00:00 25/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [23:00:00 25/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 25/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.0847 u1: ml st: NotStopd t0: [23:00:00 25/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [23:00:00 25/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 25/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [23:00:00 25/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [23:00:00 25/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 25/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [23:00:00 25/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [00:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [00:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [00:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [00:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 64 u1: % st: NotStopd t0: [00:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [00:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 21.9375 vu: ml t0: [00:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [00:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [00:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 26/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 26/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [00:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 26/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 144 t0: [00:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.7184 u1: kg x m st: NotStopd t0: [00:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [00:00:00 26/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 57.8816 u1: g * m st: NotStopd t0: [00:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [00:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 26/11/2010] id: PCWP el: 0 cu: C-SICU cg: RN u1: mmHg st: NotStopd t0: [00:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.5636 u1: kg * m st: NotStopd t0: [00:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.19626 u1: ... st: NotStopd t0: [00:00:00 26/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.0864 u1: g * m st: NotStopd t0: [00:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.3271 u1: g*m/m2 st: NotStopd t0: [00:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [00:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [00:00:00 26/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 787.692 u1: ... st: NotStopd t0: [00:00:00 26/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1684.21 u1: ... st: NotStopd t0: [00:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.5556 u1: ml st: NotStopd t0: [00:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [00:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [00:00:00 26/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [23:00:00 26/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 400 ap: none
t0: [00:00:00 26/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 26/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 26/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 26/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 26/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 26/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 26/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 26/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 26/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 26/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 26/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 26/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
t0: [01:00:00 26/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 30 t0: [01:00:00 26/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 26/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [01:00:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [01:00:00 26/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [01:00:00 26/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 35 t0: [01:00:00 26/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 26/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 26/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [01:00:00 26/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [01:00:00 26/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [01:00:00 26/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [01:00:00 26/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 25.3 u1: L/min st: NotStopd t0: [01:00:00 26/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:00:00 26/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 26/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [01:00:00 26/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:00:00 26/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [01:00:00 26/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [01:00:00 26/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 26/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.17757 u1: ... st: NotStopd t0: [01:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [01:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [01:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 149 t0: [01:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.936 u1: kg x m st: NotStopd t0: [01:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [01:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.18 u1: g * m st: NotStopd t0: [01:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: g*m/m2 st: NotStopd t0: [01:00:00 26/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [01:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [01:00:00 26/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [01:00:00 26/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [01:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [01:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [01:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.95936 u1: kg * m st: NotStopd t0: [01:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.38318 u1: ... st: NotStopd t0: [01:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.6768 u1: g * m st: NotStopd t0: [01:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.0093 u1: g*m/m2 st: NotStopd t0: [01:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [01:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [01:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.6207 u1: ml st: NotStopd t0: [01:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [01:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [01:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [01:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [01:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.2 vu: ml t0: [01:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 95 vu: ml t0: [01:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [00:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.048 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.048 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 26/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [02:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 128 u1: BPM st: NotStopd t0: [02:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 131 t0: [02:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.23968 u1: kg x m st: NotStopd t0: [02:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.8972 u1: ... st: NotStopd t0: [02:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 48.3072 u1: g * m st: NotStopd t0: [02:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [02:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [02:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [02:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.78256 u1: kg * m st: NotStopd t0: [02:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.29907 u1: ... st: NotStopd t0: [02:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 21.5424 u1: g * m st: NotStopd t0: [02:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.0467 u1: g*m/m2 st: NotStopd t0: [02:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [02:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: ... st: NotStopd t0: [02:00:00 26/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [02:00:00 26/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1710.34 u1: ... st: NotStopd t0: [02:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [02:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 48.4375 u1: ml st: NotStopd t0: [02:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [02:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [02:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [02:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.2 vu: ml t0: [02:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [02:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:10:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.24 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:10:00 26/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [02:00:00 26/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 23.7 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 23.7 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.4 u1: % rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 190 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 23.7 rs: Final st: NotStopd
t0: [02:00:00 26/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 58 rs: Final st: NotStopd
t0: [02:00:00 26/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1056 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:30:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [02:00:00 26/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21.6 rs: Final st: NotStopd t0: [02:00:00 26/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21.6 rs: Final st: NotStopd
tf: [16:00:00 26/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [03:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [03:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [03:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 128 t0: [03:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.40736 u1: kg x m st: NotStopd t0: [03:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [03:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 50.2112 u1: g * m st: NotStopd t0: [03:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.3645 u1: g*m/m2 st: NotStopd t0: [03:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [03:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [03:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.43712 u1: kg * m st: NotStopd t0: [03:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14019 u1: ... st: NotStopd t0: [03:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.6304 u1: g * m st: NotStopd t0: [03:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.5607 u1: g*m/m2 st: NotStopd t0: [03:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 24.2991 u1: ... st: NotStopd t0: [03:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 51.8519 u1: ml st: NotStopd t0: [03:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [03:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [03:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [03:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [03:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 95 vu: ml st: Stopped t0: [03:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [03:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.525 vu: ml t0: [03:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [00:00:00 26/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 26/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 26/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 26/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:30:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:30:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:30:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:30:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:30:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:30:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:30:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:30:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [02:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd
t0: [00:00:00 26/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 150 vu: ml nb: 1 t0: [04:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 26/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 40 vu: ml t0: [04:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.525 vu: ml
t0: [03:45:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 58 u1: mmHg rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:45:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd
t0: [02:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 26/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 26/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 26/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 26/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 26/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 26/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 26/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 26/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 26/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 26/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 26/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 26/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 26/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 26/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [04:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 26/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 26/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [04:00:00 26/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 26/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [04:00:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [04:00:00 26/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 26/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [04:00:00 26/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 26/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 26/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [04:00:00 26/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 11 st: NotStopd t0: [04:00:00 26/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [04:00:00 26/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 26/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:00:00 26/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 26/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 26/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [04:00:00 26/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 26/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:40:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:40:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [04:40:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:40:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [04:40:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [04:40:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [04:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 26/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [04:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [04:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 120 t0: [04:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.032 u1: kg x m st: NotStopd t0: [04:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [04:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 43.2752 u1: g * m st: NotStopd t0: [04:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: g*m/m2 st: NotStopd t0: [04:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [04:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [04:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [04:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.312 u1: kg * m st: NotStopd t0: [04:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.07944 u1: ... st: NotStopd t0: [04:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.8832 u1: g * m st: NotStopd t0: [04:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.29907 u1: g*m/m2 st: NotStopd t0: [04:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: ... st: NotStopd t0: [04:00:00 26/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 944 u1: ... st: NotStopd t0: [04:00:00 26/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 2017.09 u1: ... st: NotStopd t0: [04:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 42.735 u1: ml st: NotStopd t0: [04:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [04:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [04:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [04:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [04:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [04:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [05:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [05:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 128 t0: [05:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.9368 u1: kg x m st: NotStopd t0: [05:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [05:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 43.0848 u1: g * m st: NotStopd t0: [05:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: g*m/m2 st: NotStopd t0: [05:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [05:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [05:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [05:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3188 u1: kg * m st: NotStopd t0: [05:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08411 u1: ... st: NotStopd t0: [05:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.2368 u1: g * m st: NotStopd t0: [05:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.43925 u1: g*m/m2 st: NotStopd t0: [05:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: ... st: NotStopd t0: [05:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 48.2456 u1: ml st: NotStopd t0: [05:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [05:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [05:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [05:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [05:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.525 vu: ml t0: [05:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [05:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 26/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [05:27:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [04:00:00 26/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [05:00:00 26/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [05:00:00 26/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 26/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 26/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 26/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 26/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 26/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.61682 u1: ... st: NotStopd t0: [06:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [06:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 118 t0: [06:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.25504 u1: kg x m st: NotStopd t0: [06:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.47664 u1: ... st: NotStopd t0: [06:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.8584 u1: g * m st: NotStopd t0: [06:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: g*m/m2 st: NotStopd t0: [06:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [06:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [06:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [06:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.43712 u1: kg * m st: NotStopd t0: [06:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14019 u1: ... st: NotStopd t0: [06:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.1952 u1: g * m st: NotStopd t0: [06:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.3738 u1: g*m/m2 st: NotStopd t0: [06:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [06:00:00 26/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 757.143 u1: ... st: NotStopd t0: [06:00:00 26/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1618.32 u1: ... st: NotStopd t0: [06:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 26/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 26/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.9091 u1: ml st: NotStopd t0: [06:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [06:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [06:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [06:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [06:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.525 vu: ml t0: [06:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml t0: [06:00:00 26/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [06:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [06:00:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [07:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [07:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [07:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 126 t0: [07:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.8552 u1: kg x m st: NotStopd t0: [07:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [07:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 41.888 u1: g * m st: NotStopd t0: [07:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 19.6262 u1: g*m/m2 st: NotStopd t0: [07:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [07:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [07:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [07:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.21952 u1: kg * m st: NotStopd t0: [07:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.03738 u1: ... st: NotStopd t0: [07:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.1488 u1: g * m st: NotStopd t0: [07:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.92523 u1: g*m/m2 st: NotStopd t0: [07:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 20.5607 u1: ... st: NotStopd t0: [07:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 44.3478 u1: ml st: NotStopd t0: [07:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [07:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [07:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [07:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [07:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [13:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [14:00:00 24/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 111.9 u1: kg st: NotStopd t0: [14:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [06:52:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [06:52:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [06:52:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [06:52:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [06:52:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [06:52:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [06:52:00 26/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [06:52:00 26/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [08:00:00 26/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [08:00:00 26/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 26/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [08:00:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 26/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 26/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [08:00:00 26/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 26/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 26/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [08:00:00 26/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 11 st: NotStopd t0: [08:00:00 26/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 26/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.2 u1: L/min st: NotStopd t0: [08:00:00 26/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 26/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 26/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 26/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 26/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v2: Thick st: NotStopd t0: [08:00:00 26/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 26/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [08:00:00 26/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 26/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 26/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 26/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [08:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 26/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 26/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 26/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 26/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 26/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 26/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [08:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 121 t0: [08:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 26/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 26/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 26/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 26/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 26/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 26/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 26/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 26/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.97488 u1: kg x m st: NotStopd t0: [08:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [08:00:00 26/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [08:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 46.376 u1: g * m st: NotStopd t0: [08:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.4953 u1: g*m/m2 st: NotStopd t0: [08:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [08:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [08:00:00 26/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 26/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [08:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.08624 u1: kg * m st: NotStopd t0: [08:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.976636 u1: ... st: NotStopd t0: [08:00:00 26/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [08:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 19.448 u1: g * m st: NotStopd t0: [08:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.06542 u1: g*m/m2 st: NotStopd t0: [08:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [08:00:00 26/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.1402 u1: ml st: NotStopd t0: [08:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [08:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [08:00:00 26/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 31.05 vu: ml t0: [08:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 140 vu: ml
t0: [08:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [09:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [09:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 126 u1: BPM st: NotStopd t0: [09:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 126 t0: [09:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.6096 u1: kg x m st: NotStopd t0: [09:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [09:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.8768 u1: g * m st: NotStopd t0: [09:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [09:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [09:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [09:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.1008 u1: kg * m st: NotStopd t0: [09:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.4486 u1: ... st: NotStopd t0: [09:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.8064 u1: g * m st: NotStopd t0: [09:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.5888 u1: g*m/m2 st: NotStopd t0: [09:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 22.4299 u1: ... st: NotStopd t0: [09:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 47.619 u1: ml st: NotStopd t0: [09:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 74 u1: % st: NotStopd t0: [09:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [09:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [09:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 26/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [08:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [09:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml t0: [09:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [09:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:22:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [09:22:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd
t0: [09:31:00 26/11/2010] id: BSA el: 1033 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: Admit Wt el: 1032 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: No Known Drug Allergies t0: [09:31:00 26/11/2010] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: RUPTURED AAA t0: [09:31:00 26/11/2010] id: Service el: 1026 cu: CCU cg: -1 v1: VSU t0: [09:31:00 26/11/2010] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: Readmission el: 1014 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [09:31:00 26/11/2010] id: Religion el: 1000 cu: CCU cg: -1 v1: NSP t0: [09:31:00 26/11/2010] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: Ext el: 1010 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: PIN el: 1012 cu: CCU cg: -1 t0: [09:31:00 26/11/2010] id: Allergy 3 el: 1022 cu: CCU cg: -1
tf: [07:00:00 27/11/2010] pt: Unit Dose rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Digoxin v1: 0.25 u1: mg
t0: [10:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [10:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [10:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 130 t0: [10:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.2156 u1: kg x m st: NotStopd t0: [10:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [10:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 45.084 u1: g * m st: NotStopd t0: [10:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.028 u1: g*m/m2 st: NotStopd t0: [10:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [10:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [10:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: ... st: NotStopd t0: [10:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 50.8621 u1: ml st: NotStopd t0: [10:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [10:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [10:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [10:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [10:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [10:07:00 26/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [10:07:00 26/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: 3161 v1: 70 rs: Final st: NotStopd
t0: [10:00:00 26/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml t0: [10:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [10:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vu: ml
t0: [11:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [11:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 128 t0: [11:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.6576 u1: kg x m st: NotStopd t0: [11:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [11:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.04 u1: g * m st: NotStopd t0: [11:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [11:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [11:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [11:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.43712 u1: kg * m st: NotStopd t0: [11:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14019 u1: ... st: NotStopd t0: [11:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [11:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.6542 u1: g*m/m2 st: NotStopd t0: [11:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [11:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.8131 u1: ml st: NotStopd t0: [11:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [11:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [11:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [11:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [11:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [11:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml t0: [11:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [11:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [00:00:00 25/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 111.9 u1: kg st: NotStopd t0: [00:00:00 25/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [10:30:00 26/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 19.5 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 19.5 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.9 u1: % rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 167 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.05 u1: /mic l rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 19.5 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.89 rs: Final st: NotStopd t0: [11:37:00 26/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [12:00:00 26/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [12:00:00 26/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 26/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 14 st: NotStopd t0: [12:00:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 26/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 26/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [12:00:00 26/11/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 26/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 26/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 9 st: NotStopd t0: [12:00:00 26/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 11 st: NotStopd t0: [12:00:00 26/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 26/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 26/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.9 u1: L/min st: NotStopd t0: [12:00:00 26/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 26/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 26/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 26/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:00:00 26/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 26/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [12:00:00 26/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 26/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [12:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [12:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 26/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Other/Remarks v2: Thick st: NotStopd t0: [12:00:00 26/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 73 u1: % st: NotStopd t0: [12:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [12:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 26/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 26/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 26/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 26/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 26/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 26/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 26/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 26/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 26/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 26/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 26/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 26/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 26/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 26/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 26/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 26/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 26/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 26/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 26/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 26/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 26/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 26/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 26/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 26/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 26/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.875 vu: ml t0: [12:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [12:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 125
t0: [12:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [12:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.08328 u1: kg x m st: NotStopd t0: [12:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [12:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.108 u1: g * m st: NotStopd t0: [12:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [12:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.39904 u1: kg * m st: NotStopd t0: [12:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.1215 u1: ... st: NotStopd t0: [12:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 20.944 u1: g * m st: NotStopd t0: [12:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 9.76636 u1: g*m/m2 st: NotStopd t0: [12:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [12:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.2632 u1: ml st: NotStopd t0: [12:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [12:30:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:30:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:30:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:30:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [12:30:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [12:30:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:30:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:30:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:30:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [12:30:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:30:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.048 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [13:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [13:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 127 t0: [13:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.9228 u1: kg x m st: NotStopd t0: [13:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [13:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 51.0272 u1: g * m st: NotStopd t0: [13:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: g*m/m2 st: NotStopd t0: [13:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [13:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [13:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.7404 u1: kg * m st: NotStopd t0: [13:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.28037 u1: ... st: NotStopd t0: [13:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.6096 u1: g * m st: NotStopd t0: [13:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.028 u1: g*m/m2 st: NotStopd t0: [13:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [13:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 56.0345 u1: ml st: NotStopd t0: [13:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [13:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [13:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [13:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [13:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [13:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 16.5375 vu: ml t0: [13:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [13:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.048 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 26/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [13:05:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 26/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [10:30:00 26/11/2010] id: Differential-Bands Hematology el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Differential-Basos Hematology el: 0 cu: C-SICU cg: 3161 v1: 0.2 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Differential-Eos Hematology el: 0 cu: C-SICU cg: 3161 v1: 0.3 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Differential-Lymphs Hematology el: 0 cu: C-SICU cg: 3161 v1: 6.2 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Differential-Monos Hematology el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [10:30:00 26/11/2010] id: Differential-Polys Hematology el: 0 cu: C-SICU cg: 3161 v1: 90.6 rs: Final st: NotStopd
t0: [14:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [14:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [14:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 123 t0: [14:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.10368 u1: kg x m st: NotStopd t0: [14:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [14:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.6384 u1: g * m st: NotStopd t0: [14:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [14:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [14:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [14:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [14:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.78256 u1: kg * m st: NotStopd t0: [14:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.29907 u1: ... st: NotStopd t0: [14:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.4528 u1: g * m st: NotStopd t0: [14:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [14:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: ... st: NotStopd t0: [14:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 57.8947 u1: ml st: NotStopd t0: [14:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [14:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [14:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [14:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [14:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [14:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.5813 vu: ml t0: [14:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [14:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:10:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.044 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 26/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: OR Sent st: NotStopd
t0: [16:00:00 26/11/2010] id: Cuff Pressure-Airway el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 26/11/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 26/11/2010] id: ETT Position Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 26/11/2010] id: Extubation Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 26/11/2010] id: Airway Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 26/11/2010] id: Intubation Date el: 0 cu: C-SICU cg: -1 st: D/C'd
id: OR Crystalloid el: 2 cu: C-SICU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push
t0: [16:00:00 26/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:00:00 26/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 26/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [16:00:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 26/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 26/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [16:00:00 26/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 26/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 11 st: NotStopd t0: [16:00:00 26/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [16:00:00 26/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 26/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [16:00:00 26/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 26/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 26/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [16:00:00 26/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 26/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 26/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [16:00:00 26/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 26/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 26/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 26/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 26/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 26/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:19:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [16:19:00 26/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [16:00:00 26/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 26/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 26/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 26/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 26/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 26/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 26/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [16:00:00 26/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [16:15:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:15:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.33645 u1: ... st: NotStopd t0: [16:15:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:15:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [16:15:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:15:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 126 u1: BPM st: NotStopd t0: [16:15:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:15:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 122 t0: [16:15:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.76 u1: kg x m st: NotStopd t0: [16:15:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.24299 u1: ... st: NotStopd t0: [16:15:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 38.08 u1: g * m st: NotStopd t0: [16:15:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 17.757 u1: g*m/m2 st: NotStopd t0: [16:15:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [16:15:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [16:15:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:15:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:15:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:15:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.176 u1: kg * m st: NotStopd t0: [16:15:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.01869 u1: ... st: NotStopd t0: [16:15:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 17.408 u1: g * m st: NotStopd t0: [16:15:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.13084 u1: g*m/m2 st: NotStopd t0: [16:15:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:15:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 18.6916 u1: ... st: NotStopd t0: [16:15:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:15:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 39.6825 u1: ml st: NotStopd t0: [16:15:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:15:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [16:15:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [16:15:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [16:00:00 26/11/2010] tf: [09:00:00 27/11/2010] dt: 1020 id: OR Crystalloid OR Intake el: 2 cu: C-SICU cg: RN ai: 124 vo: 400 vu: ml t0: [16:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 29.8125 vu: ml t0: [16:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [16:15:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.054 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:15:00 26/11/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: OR Received st: NotStopd t0: [16:30:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:30:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [16:30:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:30:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [16:30:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [16:30:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [16:30:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:30:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:30:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:30:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [16:30:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:30:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [16:30:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:30:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [16:30:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.052 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 26/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 26/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 26/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 26/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 26/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 26/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 26/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [16:00:00 26/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 26/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 26/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 26/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 26/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Small st: NotStopd t0: [16:00:00 26/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 26/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 26/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 26/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 26/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 26/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 26/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 26/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 26/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 26/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 26/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 26/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [16:30:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd
t0: [16:35:00 26/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 25 u1: % rs: Final st: NotStopd
t0: [17:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.42991 u1: ... st: NotStopd t0: [17:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [17:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [17:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 130 t0: [17:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.45536 u1: kg x m st: NotStopd t0: [17:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.1028 u1: ... st: NotStopd t0: [17:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 36.8424 u1: g * m st: NotStopd t0: [17:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 17.2897 u1: g*m/m2 st: NotStopd t0: [17:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [17:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [17:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [17:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.1216 u1: kg * m st: NotStopd t0: [17:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 0.990654 u1: ... st: NotStopd t0: [17:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 17.544 u1: g * m st: NotStopd t0: [17:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 8.17757 u1: g*m/m2 st: NotStopd t0: [17:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 20.0935 u1: ... st: NotStopd t0: [17:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 42.623 u1: ml st: NotStopd t0: [17:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [17:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [17:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [17:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [17:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 17.0438 vu: ml t0: [17:00:00 26/11/2010] tf: [05:00:00 06/12/2010] dt: 13680 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [17:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.052 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [01:00:00 27/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [16:37:00 26/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd
t0: [12:00:00 26/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 26/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 26/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 26/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 26/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 26/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [17:00:00 26/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 26/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 26/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [17:15:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:15:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:15:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [17:15:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:15:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [17:15:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [17:15:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:15:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:15:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:15:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [17:15:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:15:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:15:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:30:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [17:30:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [17:30:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:30:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:30:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [17:30:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:30:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [17:30:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:30:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:30:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:45:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:45:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [17:45:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:45:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [17:45:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [17:45:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:45:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:45:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:45:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [17:45:00 26/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [17:45:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:45:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:45:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 17.0438 vu: ml t0: [18:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 0 vu: ml nb: 1 t0: [18:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 70 vu: ml
t0: [17:30:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.048 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.046 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 26/11/2010] id: Drain Out #1 Tap el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
tf: [16:00:00 26/11/2010] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Hydrocortisone v1: 50 u1: mg tf: [17:00:00 26/11/2010] pt: IV Piggyback rt: IV fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR tf: [22:00:00 26/11/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 18, 6 dn: 2 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [17:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [18:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 26/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [18:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [18:00:00 26/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [18:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 26/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [18:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 133 t0: [18:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.93776 u1: kg x m st: NotStopd t0: [18:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.75701 u1: ... st: NotStopd t0: [18:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 56.3584 u1: g * m st: NotStopd t0: [18:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: g*m/m2 st: NotStopd t0: [18:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [18:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [18:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [18:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.48744 u1: kg * m st: NotStopd t0: [18:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.16355 u1: ... st: NotStopd t0: [18:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.6096 u1: g * m st: NotStopd t0: [18:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.028 u1: g*m/m2 st: NotStopd t0: [18:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 26.1682 u1: ... st: NotStopd t0: [18:00:00 26/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 800 u1: ... st: NotStopd t0: [18:00:00 26/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1710.14 u1: ... st: NotStopd t0: [18:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.6604 u1: ml st: NotStopd t0: [18:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [18:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [18:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [18:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [18:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [18:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [18:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [18:09:00 26/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [18:09:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd
t0: [18:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml nb: 1 t0: [18:00:00 26/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [18:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.044 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/11/2010] tf: [21:17:00 07/12/2010] dt: 16037 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:30:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:30:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:30:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [18:30:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [18:30:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:30:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:30:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:30:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [18:30:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:30:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:30:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [18:30:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.042 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [19:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [19:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.3784 u1: kg x m st: NotStopd t0: [19:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [19:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.024 u1: g * m st: NotStopd t0: [19:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [19:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [19:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [19:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [19:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.91584 u1: kg * m st: NotStopd t0: [19:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.36449 u1: ... st: NotStopd t0: [19:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.9824 u1: g * m st: NotStopd t0: [19:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.6168 u1: g*m/m2 st: NotStopd t0: [19:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.972 u1: ... st: NotStopd t0: [19:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 62.037 u1: ml st: NotStopd t0: [19:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 72 u1: % st: NotStopd t0: [19:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [19:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [19:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [19:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [19:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:53:00 26/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [19:53:00 26/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [19:53:00 26/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [19:53:00 26/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:53:00 26/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:53:00 26/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [19:53:00 26/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [19:53:00 26/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 11 st: NotStopd t0: [19:53:00 26/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [19:53:00 26/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [19:53:00 26/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.7 u1: L/min st: NotStopd t0: [19:53:00 26/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [19:53:00 26/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [19:53:00 26/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [19:53:00 26/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [19:53:00 26/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:53:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [19:53:00 26/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 870 u1: ml/B st: NotStopd t0: [19:53:00 26/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [19:53:00 26/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [19:53:00 26/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [19:53:00 26/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [19:53:00 26/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:53:00 26/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.328 u1: g * m st: NotStopd t0: [20:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: g*m/m2 st: NotStopd t0: [20:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [20:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [20:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [20:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [20:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:10:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:10:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.03738 u1: ... st: NotStopd t0: [20:10:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:10:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:10:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:10:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:10:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:10:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:10:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 130 t0: [20:10:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.8344 u1: kg x m st: NotStopd t0: [20:10:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.71028 u1: ... st: NotStopd t0: [20:10:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 53.856 u1: g * m st: NotStopd t0: [20:10:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: g*m/m2 st: NotStopd t0: [20:10:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [20:10:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [20:10:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:10:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:10:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:10:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [20:10:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.652 u1: kg * m st: NotStopd t0: [20:10:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.23832 u1: ... st: NotStopd t0: [20:10:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 24.48 u1: g * m st: NotStopd t0: [20:10:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.4486 u1: g*m/m2 st: NotStopd t0: [20:10:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:10:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 28.0374 u1: ... st: NotStopd t0: [20:10:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:10:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 59.633 u1: ml st: NotStopd t0: [20:10:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [20:10:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [20:10:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:10:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:10:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:10:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [20:00:00 26/11/2010] tf: [14:00:00 27/11/2010] dt: 1080 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 28.0125 vu: ml t0: [20:00:00 26/11/2010] tf: [12:00:00 29/11/2010] dt: 3840 id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [20:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 80 vu: ml
t0: [20:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:10:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 26/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 26/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 26/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 26/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 26/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 26/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 26/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 26/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 26/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 26/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 26/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 26/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 26/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 26/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 26/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 26/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 26/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 26/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 26/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 26/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 26/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 26/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 26/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 26/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 26/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 26/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 26/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 26/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 26/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 26/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 26/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 26/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 26/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 26/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 26/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 26/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 26/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 26/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 26/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 26/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 26/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 26/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 26/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 26/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 26/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 26/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [20:00:00 26/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 26/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 26/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 26/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 26/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 26/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 26/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 26/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 26/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: Off st: NotStopd
t0: [21:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.52336 u1: ... st: NotStopd t0: [21:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 147 t0: [21:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.1408 u1: kg x m st: NotStopd t0: [21:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.38318 u1: ... st: NotStopd t0: [21:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 51.408 u1: g * m st: NotStopd t0: [21:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 23.8318 u1: g*m/m2 st: NotStopd t0: [21:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [21:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [21:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [21:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.2032 u1: kg * m st: NotStopd t0: [21:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.02804 u1: ... st: NotStopd t0: [21:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.032 u1: g * m st: NotStopd t0: [21:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.2804 u1: g*m/m2 st: NotStopd t0: [21:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.2336 u1: ... st: NotStopd t0: [21:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 54 u1: ml st: NotStopd t0: [21:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [21:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [21:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [21:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [21:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [21:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [21:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [21:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [21:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [22:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 143 t0: [22:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.47536 u1: kg x m st: NotStopd t0: [22:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [22:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 52.9584 u1: g * m st: NotStopd t0: [22:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 24.7664 u1: g*m/m2 st: NotStopd t0: [22:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [22:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [22:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [22:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.40584 u1: kg * m st: NotStopd t0: [22:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.12617 u1: ... st: NotStopd t0: [22:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 23.2696 u1: g * m st: NotStopd t0: [22:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.8879 u1: g*m/m2 st: NotStopd t0: [22:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: ... st: NotStopd t0: [22:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 58.6538 u1: ml st: NotStopd t0: [22:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [22:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [22:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [22:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [22:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [22:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [22:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd
t0: [22:00:00 26/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 90 vu: ml t0: [22:00:00 26/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [23:00:00 26/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 70 ap: none
t0: [22:00:00 26/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 99 rs: Manual st: NotStopd t0: [22:00:00 26/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [23:00:00 26/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 26/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [23:00:00 26/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 26/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 26/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 26/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 26/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 136 t0: [23:00:00 26/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.74056 u1: kg x m st: NotStopd t0: [23:00:00 26/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [23:00:00 26/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 58.3168 u1: g * m st: NotStopd t0: [23:00:00 26/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.1028 u1: g*m/m2 st: NotStopd t0: [23:00:00 26/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [23:00:00 26/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [23:00:00 26/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 26/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 26/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [23:00:00 26/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.5704 u1: kg * m st: NotStopd t0: [23:00:00 26/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.20093 u1: ... st: NotStopd t0: [23:00:00 26/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.112 u1: g * m st: NotStopd t0: [23:00:00 26/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [23:00:00 26/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 26/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [23:00:00 26/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 26/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 64.2857 u1: ml st: NotStopd t0: [23:00:00 26/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [23:00:00 26/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 26/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [23:00:00 26/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [23:00:00 26/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 26/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [23:00:00 26/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [23:00:00 26/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [23:00:00 26/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [23:00:00 26/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [23:00:00 26/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 26/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 40 cv: 580 ap: none t0: [23:00:00 26/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 1550 ap: none t0: [23:00:00 26/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 50 cv: 1950 ap: none
tf: [09:00:00 29/11/2010] pt: IV Piggyback rt: IV fr: Q6H fs: 23, 5, 11, 17 dn: 4 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [23:00:00 26/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd
t0: [00:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [00:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 138 t0: [00:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.37296 u1: kg x m st: NotStopd t0: [00:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [00:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 64.6272 u1: g * m st: NotStopd t0: [00:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [00:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [00:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [00:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 27/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [00:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.8968 u1: kg * m st: NotStopd t0: [00:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.35514 u1: ... st: NotStopd t0: [00:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 29.376 u1: g * m st: NotStopd t0: [00:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.7383 u1: g*m/m2 st: NotStopd t0: [00:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: ... st: NotStopd t0: [00:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 71.7172 u1: ml st: NotStopd t0: [00:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [00:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [00:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [00:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [00:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [00:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [00:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:31:00 27/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:31:00 27/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:31:00 27/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [00:31:00 27/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:31:00 27/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:31:00 27/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [00:31:00 27/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:31:00 27/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 9 st: NotStopd t0: [00:31:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:31:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.7 u1: L/min st: NotStopd t0: [00:31:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:31:00 27/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:31:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [00:31:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:31:00 27/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:31:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:31:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 925 u1: ml/B st: NotStopd t0: [00:31:00 27/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:31:00 27/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:31:00 27/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:31:00 27/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:31:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:31:00 27/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 27/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd
t0: [00:00:00 27/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml
t0: [23:00:00 26/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 55.1875 cv: 55.1875 ap: none t0: [23:00:00 26/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 65.1875 cv: 3449.58 ap: none t0: [23:00:00 26/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 105.188 cv: 4499.58 ap: none t0: [23:00:00 26/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 55.1875 cv: 2549.58 ap: none t0: [23:00:00 26/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 55.1875 cv: 59757.8 ap: carryForward t0: [23:00:00 27/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 170 ap: none
t0: [00:30:00 27/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 18.1 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 18.1 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 27.8 u1: % rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 2.93 u1: /mic l rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 18.1 rs: Final st: NotStopd
t0: [22:00:00 26/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 27/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 27/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 27/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 27/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 27/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 27/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 27/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 27/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 27/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 27/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 27/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 27/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 27/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 27/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 27/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 27/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [00:00:00 27/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 27/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 27/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 27/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 27/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 27/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 27/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 27/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 27/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 27/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 27/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 27/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 27/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 27/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 27/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 27/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 27/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 27/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 27/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 27/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 27/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.41121 u1: ... st: NotStopd t0: [01:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [01:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 155 t0: [01:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.35392 u1: kg x m st: NotStopd t0: [01:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [01:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 60.928 u1: g * m st: NotStopd t0: [01:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 28.5047 u1: g*m/m2 st: NotStopd t0: [01:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [01:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 27/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [01:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.9784 u1: kg * m st: NotStopd t0: [01:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.39252 u1: ... st: NotStopd t0: [01:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.56 u1: g * m st: NotStopd t0: [01:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.3645 u1: g*m/m2 st: NotStopd t0: [01:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: ... st: NotStopd t0: [01:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 69.5238 u1: ml st: NotStopd t0: [01:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [01:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [01:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [01:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [00:00:00 27/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 200 vu: ml nb: 1 t0: [01:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [01:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [01:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [01:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:30:00 27/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 55.9 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 55.9 rs: Final st: NotStopd
t0: [00:30:00 27/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 909 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 196 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [01:04:00 27/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.06 rs: Final st: NotStopd t0: [01:04:00 27/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [00:30:00 27/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19.7 rs: Final st: NotStopd t0: [00:30:00 27/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19.7 rs: Final st: NotStopd
tf: [15:00:00 27/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [02:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.66355 u1: ... st: NotStopd t0: [02:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [02:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 146 t0: [02:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 4.88376 u1: kg x m st: NotStopd t0: [02:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.28972 u1: ... st: NotStopd t0: [02:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 47.124 u1: g * m st: NotStopd t0: [02:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 21.9626 u1: g*m/m2 st: NotStopd t0: [02:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [02:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [02:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 27/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [02:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3256 u1: kg * m st: NotStopd t0: [02:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.08879 u1: ... st: NotStopd t0: [02:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 22.44 u1: g * m st: NotStopd t0: [02:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 10.4673 u1: g*m/m2 st: NotStopd t0: [02:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 25.7009 u1: ... st: NotStopd t0: [02:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 55.3398 u1: ml st: NotStopd t0: [02:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 69 u1: % st: NotStopd t0: [02:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [02:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [02:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [02:00:00 27/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [02:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10.5 vu: ml t0: [02:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [02:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 40 vu: ml t0: [02:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [01:30:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 27/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 27/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 27/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [03:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 131 t0: [03:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 5.5488 u1: kg x m st: NotStopd t0: [03:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.57009 u1: ... st: NotStopd t0: [03:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 59.1872 u1: g * m st: NotStopd t0: [03:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 27.5701 u1: g*m/m2 st: NotStopd t0: [03:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 27/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [03:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [03:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.10748 u1: ... st: NotStopd t0: [03:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 25.2416 u1: g * m st: NotStopd t0: [03:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 11.7757 u1: g*m/m2 st: NotStopd t0: [03:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [03:00:00 27/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 720 u1: ... st: NotStopd t0: [03:00:00 27/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1542.86 u1: ... st: NotStopd t0: [03:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.8298 u1: ml st: NotStopd t0: [03:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 71 u1: % st: NotStopd t0: [03:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [03:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [03:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [03:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [03:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [03:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [03:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [03:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.50467 u1: ... st: NotStopd t0: [04:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [04:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 136 t0: [04:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 7.548 u1: kg x m st: NotStopd t0: [04:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.50467 u1: ... st: NotStopd t0: [04:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 75.48 u1: g * m st: NotStopd t0: [04:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: g*m/m2 st: NotStopd t0: [04:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [04:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [04:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 27/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [04:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 3.162 u1: kg * m st: NotStopd t0: [04:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.47664 u1: ... st: NotStopd t0: [04:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 31.62 u1: g * m st: NotStopd t0: [04:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 14.7664 u1: g*m/m2 st: NotStopd t0: [04:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 35.0467 u1: ... st: NotStopd t0: [04:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 75 u1: ml st: NotStopd t0: [04:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 70 u1: % st: NotStopd t0: [04:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [04:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [04:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.5 u1: L/min st: NotStopd
t0: [04:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [04:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [04:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [04:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [04:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 27/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 27/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 27/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 27/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 27/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 27/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 27/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 27/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 27/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 27/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 27/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 27/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 27/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 27/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [04:00:00 27/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 27/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 27/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 27/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 27/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None v2: Scant st: NotStopd t0: [04:00:00 27/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 27/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 27/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 27/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 27/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 27/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 27/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 27/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 27/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 27/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 27/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 27/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 27/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 27/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 27/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:08:00 27/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:08:00 27/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:08:00 27/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [04:08:00 27/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:08:00 27/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:08:00 27/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [04:08:00 27/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:08:00 27/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 9 st: NotStopd t0: [04:08:00 27/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [04:08:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:08:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.9 u1: L/min st: NotStopd t0: [04:08:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:08:00 27/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:08:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:08:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [04:08:00 27/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:08:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:08:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [04:08:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:08:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [04:08:00 27/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:08:00 27/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:08:00 27/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:08:00 27/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:08:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:08:00 27/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:44:00 27/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 55.1181 u1: units st: NotStopd t0: [04:44:00 27/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 55.1181 u1: units st: NotStopd t0: [04:44:00 27/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:44:00 27/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.635 u1: L st: NotStopd
t0: [00:00:00 27/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 27/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 27/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 27/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 27/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 27/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [05:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.13084 u1: ... st: NotStopd t0: [05:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 156 t0: [05:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.28728 u1: kg x m st: NotStopd t0: [05:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.94393 u1: ... st: NotStopd t0: [05:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 62.8728 u1: g * m st: NotStopd t0: [05:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.4393 u1: g*m/m2 st: NotStopd t0: [05:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [05:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [05:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 27/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.5 u1: kg st: NotStopd t0: [05:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.7336 u1: kg * m st: NotStopd t0: [05:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.2757 u1: ... st: NotStopd t0: [05:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 27.336 u1: g * m st: NotStopd t0: [05:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.757 u1: g*m/m2 st: NotStopd t0: [05:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [05:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67 u1: ml st: NotStopd t0: [05:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [05:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [05:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [05:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [05:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [05:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [05:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [05:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [05:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 27/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 27/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 27/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 103 rs: Manual st: NotStopd t0: [05:00:00 27/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [06:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [06:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [06:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 147 t0: [06:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.35392 u1: kg x m st: NotStopd t0: [06:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.99065 u1: ... st: NotStopd t0: [06:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 66.5176 u1: g * m st: NotStopd t0: [06:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: g*m/m2 st: NotStopd t0: [06:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [06:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.52416 u1: kg * m st: NotStopd t0: [06:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.17757 u1: ... st: NotStopd t0: [06:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.4248 u1: g * m st: NotStopd t0: [06:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.3364 u1: g*m/m2 st: NotStopd t0: [06:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 31.3084 u1: ... st: NotStopd t0: [06:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 67.3684 u1: ml st: NotStopd t0: [06:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 67 u1: % st: NotStopd t0: [06:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [06:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [06:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [05:00:00 27/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vu: ml t0: [05:00:00 27/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [06:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [06:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [06:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 50 vu: ml t0: [06:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [06:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 27/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 30 vu: ml
t0: [07:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 2.80374 u1: ... st: NotStopd t0: [07:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [07:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 27/11/2010] id: EDVI el: 3 cu: C-SICU cg: RN v1: 138 t0: [07:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.12 u1: kg x m st: NotStopd t0: [07:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 2.85047 u1: ... st: NotStopd t0: [07:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 65.28 u1: g * m st: NotStopd t0: [07:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 30.3738 u1: g*m/m2 st: NotStopd t0: [07:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [07:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [07:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.448 u1: kg * m st: NotStopd t0: [07:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.14486 u1: ... st: NotStopd t0: [07:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.112 u1: g * m st: NotStopd t0: [07:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.1963 u1: g*m/m2 st: NotStopd t0: [07:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: ... st: NotStopd t0: [07:00:00 27/11/2010] id: SVR el: 0 cu: C-SICU cg: RN v1: 840 u1: ... st: NotStopd t0: [07:00:00 27/11/2010] id: SVRI el: 0 cu: C-SICU cg: RN v1: 1800 u1: ... st: NotStopd t0: [07:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 63.8298 u1: ml st: NotStopd t0: [07:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 68 u1: % st: NotStopd t0: [07:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [07:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [07:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [07:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [07:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [07:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 15.1875 vu: ml t0: [07:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [07:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml
t0: [07:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.045 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:30:00 27/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:30:00 27/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:30:00 27/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [08:30:00 27/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 27/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:30:00 27/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [08:30:00 27/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:30:00 27/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 9 st: NotStopd t0: [08:30:00 27/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:30:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:30:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16 u1: L/min st: NotStopd t0: [08:30:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:30:00 27/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:30:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:30:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:30:00 27/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:30:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:30:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [08:30:00 27/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:30:00 27/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:30:00 27/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:30:00 27/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:30:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:30:00 27/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:33:00 27/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [08:33:00 27/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [08:33:00 27/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [08:36:00 27/11/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [08:37:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd
t0: [08:15:00 27/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 75.2 rs: Final st: NotStopd t0: [08:15:00 27/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 75.2 rs: Final st: NotStopd
t0: [07:30:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:30:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [07:30:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [07:30:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [07:30:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:30:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:30:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:30:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [08:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 27/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 27/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 27/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 27/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 27/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 27/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 27/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 27/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 27/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 27/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 27/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 27/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 27/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 27/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 27/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 27/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [08:00:00 27/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 27/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 27/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 27/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 27/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Small st: NotStopd t0: [08:00:00 27/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 27/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.85576 u1: kg x m st: NotStopd t0: [08:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.2243 u1: ... st: NotStopd t0: [08:00:00 27/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 69.5232 u1: g * m st: NotStopd t0: [08:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 32.7103 u1: g*m/m2 st: NotStopd t0: [08:00:00 27/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 27/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [08:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [08:00:00 27/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 27/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.80024 u1: kg * m st: NotStopd t0: [08:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.30841 u1: ... st: NotStopd t0: [08:00:00 27/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 28.3968 u1: g * m st: NotStopd t0: [08:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 13.271 u1: g*m/m2 st: NotStopd t0: [08:00:00 27/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 27/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 33.6449 u1: ... st: NotStopd t0: [08:00:00 27/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 27/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 72.449 u1: ml st: NotStopd t0: [08:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 66 u1: % st: NotStopd t0: [08:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [08:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [08:00:00 27/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 27/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 27/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 27/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 27/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 27/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 27/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 27/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 27/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 27/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.1 u1: L/min st: NotStopd t0: [09:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: RN v1: 3.31776 u1: ... st: NotStopd t0: [09:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 27/11/2010] id: LCW el: 0 cu: C-SICU cg: RN v1: 6.56608 u1: kg x m st: NotStopd t0: [09:00:00 27/11/2010] id: LCWI el: 0 cu: C-SICU cg: RN v1: 3.08411 u1: ... st: NotStopd t0: [09:00:00 27/11/2010] id: LVSW el: 0 cu: C-SICU cg: RN v1: 63.8112 u1: g * m st: NotStopd t0: [09:00:00 27/11/2010] id: LVSWI el: 0 cu: C-SICU cg: RN v1: 29.9065 u1: g*m/m2 st: NotStopd t0: [09:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [09:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [09:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 27/11/2010] id: RCW el: 0 cu: C-SICU cg: RN v1: 2.70368 u1: kg * m st: NotStopd t0: [09:00:00 27/11/2010] id: RCWI el: 0 cu: C-SICU cg: RN v1: 1.26168 u1: ... st: NotStopd t0: [09:00:00 27/11/2010] id: RVSW el: 0 cu: C-SICU cg: RN v1: 26.2752 u1: g * m st: NotStopd t0: [09:00:00 27/11/2010] id: RVSWI el: 0 cu: C-SICU cg: RN v1: 12.2897 u1: g*m/m2 st: NotStopd t0: [09:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 27/11/2010] id: SVI el: 0 cu: C-SICU cg: RN v1: 32.243 u1: ... st: NotStopd t0: [09:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: RN v1: 68.932 u1: ml st: NotStopd t0: [09:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: RN v1: 65 u1: % st: NotStopd t0: [09:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Blood st: NotStopd t0: [09:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [09:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [09:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [08:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [08:00:00 27/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 20 vu: ml t0: [08:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 14.6813 vu: ml t0: [08:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml t0: [08:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml t0: [09:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [09:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 12.825 vu: ml t0: [09:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [07:30:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.042 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.038 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.036 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 27/11/2010] id: OR Crystalloid OR Intake el: 2 cu: C-SICU cg: -1 ai: 124 vo: 0 st: D/C'd
id: Packed RBC's el: 3 cu: C-SICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [09:00:00 27/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [09:00:00 27/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [09:00:00 27/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [09:00:00 27/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [09:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [09:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 27/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 27/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [09:00:00 27/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 27/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:30:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:30:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [09:30:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:30:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:30:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:30:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:30:00 27/11/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [09:30:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:30:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 27/11/2010] id: Packed RBC's IV Infusions el: 3 cu: C-SICU cg: RN ai: 222 vu: ml uh: 1 nb: 1
t0: [09:30:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2010] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
tf: [09:00:00 28/11/2010] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Digoxin v1: 0.25 u1: mg
t0: [09:45:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [09:45:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:45:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:45:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:45:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:45:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [10:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10.8 vu: ml t0: [10:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 60 vu: ml
t0: [09:45:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.026 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:30:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:30:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:30:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:30:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:30:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.018 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:42:00 27/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [10:42:00 27/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd
t0: [11:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [11:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 27/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 20 vu: ml t0: [10:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [11:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 6.4125 vu: ml t0: [11:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [11:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [11:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [11:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [11:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [11:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Slide Board st: NotStopd t0: [11:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [11:30:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:30:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:30:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:30:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:30:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:30:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:30:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:30:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:30:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 27/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 27/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 27/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 27/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 27/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 27/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 27/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 27/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 27/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 27/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 27/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 27/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 27/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 27/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 27/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [12:00:00 27/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 27/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 27/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 27/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 27/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Scant st: NotStopd t0: [12:00:00 27/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 27/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 27/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 27/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 27/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 27/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 27/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 27/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 27/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 27/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 27/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [12:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [12:00:00 27/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 27/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 27/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [12:00:00 27/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [12:00:00 27/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 27/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 27/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 27/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 27/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 27/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 27/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 50 vu: ml nb: 1 t0: [12:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [12:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 5.0625 vu: ml t0: [12:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [12:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [12:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 27/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 27/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [12:00:00 27/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 27/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 27/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [12:00:00 27/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 27/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 9 st: NotStopd t0: [12:00:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.8 u1: L/min st: NotStopd t0: [12:00:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 27/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [12:00:00 27/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 27/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 27/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 27/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Pressure Support st: NotStopd t0: [12:00:00 27/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 27/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [12:30:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:30:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [08:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [13:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [13:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [13:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 27/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [13:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:00:00 27/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [13:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [13:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [13:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 5.0625 vu: ml t0: [13:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [13:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [13:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [14:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [14:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [14:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [14:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [11:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [12:00:00 26/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 113.5 u1: kg st: NotStopd t0: [12:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [13:00:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [16:15:00 26/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 113.5 u1: kg st: NotStopd t0: [16:15:00 26/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: 3161 u1: kg st: NotStopd t0: [14:18:00 27/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 37.3 rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 37.3 rs: Final st: NotStopd
t0: [14:18:00 27/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29.3 u1: % rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.13 u1: /mic l rs: Final st: NotStopd t0: [14:18:00 27/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd
t0: [14:57:00 27/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.07 rs: Final st: NotStopd t0: [14:57:00 27/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [15:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/11/2010] tf: [21:17:00 07/12/2010] dt: 14777 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [15:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [15:00:00 27/11/2010] tf: [16:00:00 27/11/2010] dt: 60 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 3.375 vu: ml t0: [15:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [15:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [15:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 27/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV Line#2 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 27/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [11:00:00 30/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [16:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [16:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [16:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 70 vu: ml t0: [16:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [15:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:19:00 27/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:19:00 27/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:19:00 27/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 26 t0: [16:19:00 27/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:19:00 27/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:19:00 27/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 40 t0: [16:19:00 27/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:19:00 27/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 9 st: NotStopd t0: [16:19:00 27/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:19:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:19:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19 u1: L/min st: NotStopd t0: [16:19:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:19:00 27/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:19:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:19:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [16:19:00 27/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:19:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [16:19:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned st: NotStopd t0: [16:19:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [16:19:00 27/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:19:00 27/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:19:00 27/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:19:00 27/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:19:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:19:00 27/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 27/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 27/11/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 27/11/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 27/11/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#2 D/C Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 9 st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [13:00:00 27/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 27/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 27/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 27/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 27/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 27/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 27/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 27/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 27/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 27/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 27/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 27/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 27/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 27/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 27/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 27/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 27/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 27/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 27/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 27/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [16:00:00 27/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 27/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 27/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 27/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 27/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 27/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 27/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 27/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 27/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 27/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 27/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 27/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 27/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 27/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 27/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 27/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 27/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 27/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 27/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 27/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 27/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 27/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 27/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 27/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 27/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 27/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 27/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 27/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 27/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 27/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 27/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 20 vu: ml t0: [16:00:00 27/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [17:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [17:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [17:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml t0: [17:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [17:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [16:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 27/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [18:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 80 vu: ml t0: [18:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [18:00:00 27/11/2010] id: Levophed-k el: 3 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 27/11/2010] id: Cardiac Index el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: PAP Mean el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: PAP S/D el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: PCWP el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: PVR el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: SVR el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: Stroke Volume el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: Swan SVO2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 27/11/2010] id: C.O.(thermodilution) el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:00:00 27/11/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 3 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 27/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 27/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 27/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [20:00:00 27/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 27/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 27/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 27/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 27/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 14 st: NotStopd t0: [20:00:00 27/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 24.3 u1: L/min st: NotStopd t0: [20:00:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 27/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [20:00:00 27/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [20:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [20:00:00 27/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RRT v1: Done st: NotStopd t0: [20:00:00 27/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 27/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 27/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 27/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 27/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 27/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 27/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 27/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 27/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 27/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 27/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 27/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 27/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 27/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 27/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 27/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 27/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 27/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 27/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 27/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 27/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 27/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 27/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 27/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 27/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [20:00:00 27/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 27/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [20:00:00 27/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 27/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 27/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 27/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 27/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 27/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 27/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 27/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 27/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 27/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 27/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 27/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 27/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 27/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 27/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 27/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 27/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [20:00:00 27/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 27/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [20:00:00 27/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 27/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 27/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [20:00:00 27/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 27/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 27/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 27/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [20:00:00 27/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 27/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 27/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 27/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 27/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 27/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 27/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 27/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 27/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 27/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 27/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 27/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 27/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 20 vu: ml t0: [20:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [20:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 160 vu: ml t0: [20:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 27/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [20:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [20:30:00 27/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.3 u1: % rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [21:00:00 27/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:00:00 27/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [21:00:00 27/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 27/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [21:00:00 27/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 850 u1: ml/B st: NotStopd
t0: [20:30:00 27/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 73.9 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [20:30:00 27/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 73.9 rs: Final st: NotStopd
t0: [22:00:00 27/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 27/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 27/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 27/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 27/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [22:00:00 27/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 27/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 27/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 27/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 27/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 27/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 27/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [22:00:00 27/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 160 vu: ml t0: [22:00:00 27/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 27/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [22:00:00 27/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 27/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1460 ap: none t0: [23:00:00 27/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1470 ap: none t0: [23:00:00 27/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 1470 ap: carryForward
t0: [22:00:00 27/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [00:00:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 28/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 28/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [00:00:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 28/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 28/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 14 st: NotStopd t0: [00:00:00 28/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 28/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [00:00:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 740 u1: ml/B st: NotStopd t0: [00:00:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 28/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 28/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [22:00:00 27/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 27/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 28/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 28/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 28/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 28/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 28/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 28/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 28/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 28/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 28/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 28/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [00:00:00 28/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [00:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [00:00:00 28/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [00:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [00:00:00 28/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [00:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 180 vu: ml
t0: [00:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 210 ap: none
t0: [00:00:00 28/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [02:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 50 vu: ml nb: 1 t0: [00:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml nb: 1 t0: [02:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [02:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 180 vu: ml t0: [02:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [02:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 27/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 2616.22 ap: none t0: [23:00:00 27/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 50 cv: 4246.22 ap: none t0: [23:00:00 27/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 50 cv: 2776.22 ap: carryForward t0: [23:00:00 27/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 50 cv: 62534.1 ap: carryForward t0: [23:00:00 28/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 28/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 150 cv: 150 ap: none t0: [23:00:00 28/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 150 cv: 1868 ap: none t0: [23:00:00 28/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 150 cv: 4328 ap: none t0: [23:00:00 28/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 2250 ap: none t0: [23:00:00 28/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 840 ap: none t0: [23:00:00 28/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 150 cv: 3488 ap: carryForward t0: [23:00:00 28/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 840 ap: carryForward t0: [23:00:00 28/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 150 cv: 66022 ap: carryForward
t0: [02:42:00 28/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [02:42:00 28/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [02:47:00 28/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.5 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.5 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29.8 u1: % rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.17 u1: /mic l rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.5 rs: Final st: NotStopd
t0: [02:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [02:47:00 28/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 57 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1048 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 57 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 194 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [02:47:00 28/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.9 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.9 rs: Final st: NotStopd
t0: [02:47:00 28/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 69 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [02:47:00 28/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 69 rs: Final st: NotStopd
t0: [03:00:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [03:00:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [04:00:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:00:00 28/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 28/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 28/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [04:00:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 28/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 28/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [04:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 28/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 28/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 21 u1: L/min st: NotStopd t0: [04:00:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [04:00:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 28/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 28/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [00:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [00:00:00 28/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.57797 u1: m2 st: NotStopd t0: [00:00:00 28/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.83329 u1: m2 st: NotStopd t0: [00:00:00 28/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:00:00 28/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [02:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [04:00:00 28/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 28/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [04:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 28/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 28/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 28/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 28/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [04:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [04:00:00 28/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 28/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 28/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 28/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 28/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 28/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 28/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [04:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [04:00:00 28/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 28/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 28/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 28/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 28/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [04:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd
t0: [04:00:00 28/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [04:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [04:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 180 vu: ml t0: [04:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 28/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [04:00:00 28/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [04:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [07:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [07:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [07:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [07:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [07:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [07:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [07:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 36 vu: ml t0: [07:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml
t0: [07:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 285 vu: ml nb: 1
t0: [07:00:00 28/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [07:00:00 28/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [07:00:00 28/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [07:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [07:00:00 28/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [07:00:00 28/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [07:00:00 28/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:00:00 28/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [07:00:00 28/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [07:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [07:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [07:00:00 28/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [07:00:00 28/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [07:00:00 28/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [07:00:00 28/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [07:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 28/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [07:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 28/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [07:00:00 28/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [07:00:00 28/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [07:00:00 28/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [07:00:00 28/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [07:00:00 28/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [07:00:00 28/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [07:00:00 28/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [07:00:00 28/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [07:00:00 28/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [07:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [07:00:00 28/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [07:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 28/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [07:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [07:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [07:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [07:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [07:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 28/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [07:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [07:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [07:00:00 28/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [07:00:00 28/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [07:00:00 28/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [07:00:00 28/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [07:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [07:00:00 28/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 28/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [07:00:00 28/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [07:00:00 28/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [07:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [07:00:00 28/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [07:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:00:00 28/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [07:00:00 28/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [07:00:00 28/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [07:00:00 28/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [07:00:00 28/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [07:00:00 28/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [07:00:00 28/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [07:00:00 28/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [07:00:00 28/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [07:00:00 28/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [07:00:00 28/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 28/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [08:00:00 28/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [08:00:00 28/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [08:40:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:40:00 28/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:40:00 28/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [08:40:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:40:00 28/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:40:00 28/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:40:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:40:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:40:00 28/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:40:00 28/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:40:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.8 u1: L/min st: NotStopd t0: [08:40:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 28/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:40:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:40:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:40:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:40:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:40:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [08:40:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:40:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:40:00 28/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:40:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:40:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:40:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [09:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [09:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [09:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [09:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [09:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [09:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 28/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 28/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [09:00:00 28/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [09:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [09:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [09:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [09:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [10:00:00 28/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 28/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 28/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [10:00:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [10:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [10:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [10:00:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [10:00:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [10:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Trach Mask st: NotStopd
t0: [10:00:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:15:00 28/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [10:15:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [10:30:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [10:30:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:30:00 28/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [10:30:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [10:30:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:30:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:30:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [10:30:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:30:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [10:30:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [10:30:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [10:30:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [10:30:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [10:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [10:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 95 vu: ml t0: [10:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [11:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [11:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [12:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [12:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [12:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [12:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [10:00:00 28/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Congested st: NotStopd t0: [10:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 28/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 28/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [10:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 28/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 28/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 28/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd
t0: [12:00:00 28/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 28/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 28/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 28/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 28/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 28/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 28/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 28/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 28/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 28/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 28/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 28/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 28/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 28/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 28/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 28/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 28/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 28/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 28/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 28/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 28/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 28/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [12:00:00 28/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 28/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 28/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 28/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 28/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 16 u1: number st: NotStopd t0: [12:00:00 28/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:52:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:52:00 28/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:52:00 28/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [12:52:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:52:00 28/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:52:00 28/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:52:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:52:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:52:00 28/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:52:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.7 u1: L/min st: NotStopd t0: [12:52:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:52:00 28/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:52:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:52:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:52:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:52:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:52:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 830 u1: ml/B st: NotStopd t0: [12:52:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:52:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:52:00 28/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:52:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:52:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:52:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [14:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [14:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 28/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 28/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [14:00:00 28/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [14:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [13:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 95 vu: ml t0: [13:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [14:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 28/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [14:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [14:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 95 vu: ml t0: [14:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [14:15:00 28/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.3 u1: % rs: Final st: NotStopd
t0: [14:00:00 28/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [14:00:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [14:00:00 28/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [14:00:00 28/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [14:00:00 28/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 28/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 28/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 28/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Reverse T-Berg st: NotStopd t0: [14:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [14:00:00 28/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 28/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 28/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 28/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 28/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 28/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 28/11/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Trach Mask st: NotStopd t0: [14:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [14:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 28/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 28/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 28/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 28/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 28/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [14:00:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [14:00:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [14:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [14:00:00 28/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 28/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd
t0: [10:00:00 28/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 28/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [16:13:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:13:00 28/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:13:00 28/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [16:13:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:13:00 28/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:13:00 28/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:13:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:13:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:13:00 28/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:13:00 28/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:13:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [16:13:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:13:00 28/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:13:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:13:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:13:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:13:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:13:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:13:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:13:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [16:13:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:13:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:13:00 28/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:13:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:13:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:13:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [16:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [16:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 15 vu: ml t0: [16:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [16:00:00 28/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [16:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [16:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 28/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [16:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [16:00:00 28/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [18:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [18:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [18:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [18:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 28/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 28/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [18:00:00 28/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [18:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [18:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [18:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [14:00:00 28/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [16:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Reverse T-Berg st: NotStopd t0: [16:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 28/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 28/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 28/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 28/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 28/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 28/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 28/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 28/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 28/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 28/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Reverse T-Berg st: NotStopd t0: [18:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: Reverse T-Berg st: NotStopd t0: [18:00:00 28/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 28/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [18:00:00 28/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 28/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [18:00:00 28/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 28/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 28/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [18:00:00 28/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 28/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [18:00:00 28/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 28/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 28/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 28/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 28/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 28/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 28/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [18:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [18:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 28/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 28/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 28/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 28/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 28/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 28/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 28/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [18:00:00 28/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 28/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 28/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 28/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [18:00:00 28/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [18:00:00 28/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [18:00:00 28/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [18:00:00 28/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 28/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 28/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 28/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [18:00:00 28/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 16 u1: number st: NotStopd t0: [18:00:00 28/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [14:15:00 28/11/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 0.8 u1: ng rs: Final st: NotStopd
t0: [19:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [19:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [19:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [19:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [19:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [19:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [19:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [19:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 28/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 28/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 28/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [20:00:00 28/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 28/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 28/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 28/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 28/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [20:00:00 28/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 28/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 28/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.4 u1: L/min st: NotStopd t0: [20:00:00 28/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 28/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 28/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 28/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 28/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 28/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [20:00:00 28/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 28/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 28/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 28/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 28/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 28/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 28/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 28/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 28/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 28/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 28/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 28/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 28/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 28/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 28/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 28/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 28/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 28/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 28/11/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 28/11/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 28/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 28/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 28/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 28/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [20:00:00 28/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 28/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 28/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 28/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 28/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 28/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 28/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 28/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 28/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 28/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 28/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 28/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 28/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 28/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 28/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 28/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 28/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [20:00:00 28/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 28/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 28/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 28/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 28/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 28/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [20:00:00 28/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 28/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [20:00:00 28/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [20:00:00 28/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 28/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 28/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 28/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 28/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 28/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 28/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 28/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 28/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 28/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 28/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 28/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 28/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [20:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [20:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [20:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 28/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 28/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 28/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 28/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 28/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 28/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 28/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [22:00:00 28/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [22:00:00 28/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 28/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 28/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 28/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [22:00:00 28/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 28/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 28/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 28/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 28/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [22:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [22:00:00 28/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 28/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [22:00:00 28/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 29/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 29/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [00:00:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 29/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 29/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 29/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [00:00:00 29/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 29/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.7 u1: L/min st: NotStopd t0: [00:00:00 29/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 29/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 29/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 29/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [00:00:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 29/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 29/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 28/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 28/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 126 rs: Manual st: NotStopd t0: [00:00:00 29/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 29/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 29/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 29/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 29/11/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 29/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 29/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 29/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 29/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 29/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 29/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 29/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 29/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 29/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 29/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 29/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 29/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [00:00:00 29/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 29/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 29/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 29/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 29/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 29/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 29/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 113.3 u1: kg st: NotStopd t0: [00:00:00 29/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 29/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [00:00:00 29/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [00:00:00 29/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 29/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/11/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.58333 u1: m2 st: NotStopd t0: [00:00:00 29/11/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.83938 u1: m2 st: NotStopd t0: [00:00:00 29/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [00:00:00 29/11/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0.7 u1: kg st: NotStopd t0: [00:00:00 29/11/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [00:00:00 29/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [20:00:00 28/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml nb: 1 t0: [21:00:00 28/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [00:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [00:00:00 29/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [00:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [00:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml nb: 1
t0: [00:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 29/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 340 ap: none
t0: [23:00:00 28/11/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 150 vu: ml nb: 1
t0: [00:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [02:00:00 29/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [02:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 29/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 5 vu: ml t0: [02:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [02:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [02:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [02:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 200 cv: 200 ap: estimateVol t0: [23:00:00 29/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -200 cv: -200 ap: estimateVol t0: [23:00:00 29/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1748 ap: none t0: [23:00:00 29/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3778 ap: none t0: [23:00:00 29/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1690 ap: none t0: [23:00:00 29/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 2110 ap: none t0: [23:00:00 29/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -200 cv: 1268 ap: estimateVol t0: [23:00:00 29/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 200 cv: 2510 ap: estimateVol t0: [23:00:00 29/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -200 cv: 67290 ap: estimateVol
t0: [02:28:00 29/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [02:28:00 29/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [02:28:00 29/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:28:00 29/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [02:28:00 29/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [02:28:00 29/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [02:28:00 29/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.19 rs: Final st: NotStopd
t0: [02:00:00 29/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29.7 u1: % rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.14 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd
t0: [02:00:00 29/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 70.9 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 70.9 rs: Final st: NotStopd
t0: [02:00:00 29/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.2 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 164 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.2 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [02:00:00 29/11/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19.9 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1310 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19.9 rs: Final st: NotStopd
t0: [02:00:00 29/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [02:00:00 29/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 29/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 29/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 29/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 29/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 29/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 29/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [04:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 29/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 29/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 29/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 29/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [04:00:00 29/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [04:00:00 29/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 29/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 29/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [04:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [04:00:00 29/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 29/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 29/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 29/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 29/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [04:00:00 29/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 29/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 29/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 29/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [04:00:00 29/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [04:00:00 29/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [04:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 29/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [04:00:00 29/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [04:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [04:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 29/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [04:00:00 29/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [04:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:00:00 29/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 29/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [04:00:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 29/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 29/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [04:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 29/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 29/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 29/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.9 u1: L/min st: NotStopd t0: [04:00:00 29/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 29/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 29/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [04:00:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 29/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 29/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 29/11/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [06:00:00 29/11/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 29/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [06:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [06:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [06:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [06:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 29/11/2010] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 29/11/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [08:00:00 29/11/2010] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 29/11/2010] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [07:00:00 29/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 29/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 29/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [08:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 29/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 29/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 29/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 29/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 29/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 29/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 29/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 29/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 29/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 29/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 29/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 29/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 29/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [08:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 29/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 29/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 29/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 29/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 29/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 29/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 29/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 29/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 29/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 29/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 29/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 29/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 29/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 29/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 29/11/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 29/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 29/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 29/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 29/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 29/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 29/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 29/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 29/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 29/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [08:00:00 29/11/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 29/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 29/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 29/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 29/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 29/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 29/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 29/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [08:00:00 29/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [08:00:00 29/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [08:00:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [08:00:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [08:00:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [08:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 29/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 29/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [08:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 29/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 29/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 29/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 29/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 29/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 29/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 29/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 29/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [08:00:00 29/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [08:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 29/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [08:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:14:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:14:00 29/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:14:00 29/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [08:14:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:14:00 29/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:14:00 29/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:14:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:14:00 29/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:14:00 29/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:14:00 29/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:14:00 29/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [08:14:00 29/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:14:00 29/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:14:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:14:00 29/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:14:00 29/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:14:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:14:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: White v2: Thick st: NotStopd t0: [08:14:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [08:14:00 29/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 717 u1: ml/B st: NotStopd t0: [08:14:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:14:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:14:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:14:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:14:00 29/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:14:00 29/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [12:00:00 29/11/2010] pt: Unit Dose rt: PO fr: Q24H fs: 10 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [09:00:00 30/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Digoxin v1: 0.25 u1: mg tf: [09:00:00 30/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [11:00:00 30/11/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 50 u1: mg tf: [07:00:00 25/12/2010] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Suspension v1: 30 u1: mg
io: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ra: 60 ru: ml/hr
t0: [12:00:00 29/11/2010] id: TF Residual Gastric/TF Residual el: 2 cu: C-SICU cg: -1 ai: 227 vo: 0 st: D/C'd
id: Respalor el: 1 cu: C-SICU cg: RN io: Respalor Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [12:00:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 29/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 29/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [12:00:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 29/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 29/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 29/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:00:00 29/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 29/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [12:00:00 29/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 29/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 29/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 29/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 29/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 705 u1: ml/B st: NotStopd t0: [12:00:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 29/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 29/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 29/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: DONE t0: [10:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 29/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [10:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [10:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [10:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 29/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 29/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [10:00:00 29/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [10:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 29/11/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 129 rs: Manual st: NotStopd t0: [12:00:00 29/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 29/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/11/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 29/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 29/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 29/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 29/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 29/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 29/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 29/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 29/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 29/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 29/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 29/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 29/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 29/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 29/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 29/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 29/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 29/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 29/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 29/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 29/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 29/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 29/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 29/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 29/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 29/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 29/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 29/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 29/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [12:00:00 29/11/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 29/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 29/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 29/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 29/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 29/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 29/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 29/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [12:00:00 29/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 29/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 29/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [12:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [10:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [10:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml t0: [10:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 29/11/2010] tf: [21:17:00 07/12/2010] dt: 12077 id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [12:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [12:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 29/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml t0: [12:00:00 29/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [10:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 29/11/2010] id: Impact w/fiber Tube Feeding el: 2 cu: C-SICU cg: RN ai: 222 vo: 190 vu: ml st: Stopped t0: [12:00:00 29/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 0 vu: ml nb: 1
t0: [10:00:00 29/11/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [12:00:00 29/11/2010] id: Nursing Consultation el: 0 cu: C-SICU cg: RN v1: Social Services st: NotStopd
t0: [12:00:00 29/11/2010] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 114 u1: kg st: NotStopd t0: [12:33:00 29/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [10:00:00 29/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [12:00:00 29/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [14:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 29/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [14:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 29/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 29/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 29/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 29/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 29/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 29/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [14:00:00 29/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 29/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 29/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [14:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [14:00:00 29/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [14:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 29/11/2010] tf: [09:00:00 03/12/2010] dt: 5460 id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 120 vu: ml
t0: [14:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 29/11/2010] id: TRANSFERRIN TIBC el: 0 cu: C-SICU cg: RN v1: ADD ON
t0: [14:10:00 29/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:10:00 29/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [15:00:00 29/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [02:00:00 29/11/2010] id: IRON 45-160 el: 0 cu: C-SICU cg: RN v1: 71 t0: [02:00:00 29/11/2010] id: TRF 200-400 el: 0 cu: C-SICU cg: RN v1: 84 t0: [02:00:00 29/11/2010] id: calTIBC 264-432 el: 0 cu: C-SICU cg: RN v1: 109 t0: [15:00:00 29/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd
t0: [15:00:00 29/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [14:00:00 29/11/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 29/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 29/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 29/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [16:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 29/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 29/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 29/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 29/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 29/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 29/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 29/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [16:00:00 29/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 29/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 29/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 29/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 29/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 29/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 29/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [16:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 29/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [16:00:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [16:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [16:00:00 29/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 29/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [16:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [16:00:00 29/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [16:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 29/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [16:00:00 29/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 120 vu: ml
t0: [16:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:04:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:04:00 29/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [16:04:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:04:00 29/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:04:00 29/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:04:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:04:00 29/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:04:00 29/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:04:00 29/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:04:00 29/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [16:04:00 29/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:04:00 29/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:04:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:04:00 29/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:04:00 29/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:04:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:04:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:04:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:04:00 29/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 775 u1: ml/B st: NotStopd t0: [16:04:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:04:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:04:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:04:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:04:00 29/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:04:00 29/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [16:00:00 30/11/2010] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [14:00:00 29/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [18:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 29/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [18:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [18:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 29/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 29/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [18:00:00 29/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [18:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [18:00:00 29/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [18:00:00 29/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 29/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 120 vu: ml t0: [18:00:00 29/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [18:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:40:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd
t0: [18:44:00 29/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [18:44:00 29/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [20:00:00 29/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 29/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 29/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [20:00:00 29/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 29/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 29/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 29/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 29/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [20:00:00 29/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 29/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [20:00:00 29/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 29/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 29/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 29/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 29/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 29/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 29/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [20:00:00 29/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 29/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 29/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 29/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 29/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 29/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [20:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [20:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [20:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 29/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 29/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 29/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 29/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 29/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 29/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 29/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 29/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 29/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 29/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 29/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 29/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 29/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 29/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 29/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 29/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 29/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 29/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 29/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 29/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 29/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 29/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 29/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 29/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 29/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 29/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 29/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 29/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 29/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 29/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 29/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 29/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 29/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 29/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 29/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 29/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 29/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 29/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 29/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [22:00:00 29/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 29/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 29/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 29/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 29/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 29/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 29/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 29/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 29/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 29/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [22:00:00 29/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 29/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 29/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 29/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [22:00:00 29/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:06:00 29/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [22:06:00 29/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd
t0: [00:00:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [00:00:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:00:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [00:00:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.3 u1: L/min st: NotStopd t0: [00:00:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [00:00:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [00:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 72 vu: ml t0: [00:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 360 vu: ml
t0: [00:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [01:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [01:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 200 vu: ml t0: [23:00:00 29/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [00:00:00 30/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [01:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 200 cv: 400 ap: none t0: [23:00:00 29/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 30/11/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [00:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 30/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 30/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [02:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [02:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [03:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 36 vu: ml t0: [03:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [03:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 180 vu: ml
t0: [02:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/11/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 30/11/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 30/11/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1671.25 ap: none t0: [23:00:00 30/11/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3781.25 ap: none t0: [23:00:00 30/11/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1710 ap: none t0: [23:00:00 30/11/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1850 ap: none t0: [23:00:00 30/11/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 1331.25 ap: carryForward t0: [23:00:00 30/11/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2450 ap: carryForward t0: [23:00:00 30/11/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 68621.3 ap: carryForward
t0: [03:23:00 30/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [03:23:00 30/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:23:00 30/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [02:10:00 30/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29.6 u1: % rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.11 u1: /mic l rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd
t0: [02:10:00 30/11/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 84.8 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 84.8 rs: Final st: NotStopd
t0: [04:00:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:00:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 28 t0: [04:00:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [04:00:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [04:00:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 697 u1: ml/B st: NotStopd t0: [04:00:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [02:10:00 30/11/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 73 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 73 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:10:00 30/11/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [05:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [05:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 30/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [05:00:00 30/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [05:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [05:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 120 vu: ml
t0: [05:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:10:00 30/11/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.1 u1: ng rs: Final st: NotStopd
t0: [06:00:00 30/11/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 47.9167 u1: units st: NotStopd t0: [06:00:00 30/11/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 47.9167 u1: units st: NotStopd t0: [06:00:00 30/11/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [06:00:00 30/11/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.48 u1: L st: NotStopd
tf: [08:00:00 07/12/2010] pt: Unit Dose rt: TP fr: ASDIR m1: Lidocaine Jelly 2% v1: 1 u1: Appl tf: [08:00:00 07/12/2010] pt: Unit Dose rt: TP fr: PRN m1: Desitin v1: 1 u1: Appl
t0: [22:00:00 29/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [22:00:00 29/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 29/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 30/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 30/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [02:00:00 30/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 30/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 30/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [02:00:00 30/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd
t0: [02:00:00 30/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 30/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 30/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 30/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 30/11/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [06:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 30/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 30/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 30/11/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [06:00:00 30/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 30/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 30/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [07:00:00 30/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [07:00:00 30/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [03:00:00 30/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [07:00:00 30/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [00:00:00 30/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 30/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 30/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 30/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 30/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 30/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 30/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 30/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 30/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 30/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 30/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 30/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 30/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 30/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 30/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 30/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 30/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 30/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 30/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 30/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 30/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 30/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 30/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 30/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 30/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 30/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 30/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 30/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 30/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 30/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 30/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 30/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 30/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 30/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 30/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 30/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 30/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 30/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 30/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 30/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 30/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 30/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 30/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 30/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 30/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 30/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 30/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 30/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [05:00:00 30/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [05:00:00 30/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [05:00:00 30/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 30/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 30/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 30/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 30/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 30/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 30/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 30/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 30/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 30/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 30/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 30/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 30/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 30/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [05:00:00 30/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 30/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 30/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [07:30:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [07:30:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:30:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:30:00 30/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [07:30:00 30/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [07:30:00 30/11/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 30/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [07:30:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [07:30:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:30:00 30/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [07:30:00 30/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:30:00 30/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [07:30:00 30/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [07:30:00 30/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [07:30:00 30/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [07:30:00 30/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [07:30:00 30/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [07:30:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:30:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [07:30:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 30/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [07:30:00 30/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [07:30:00 30/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [07:30:00 30/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [07:30:00 30/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [07:30:00 30/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [07:30:00 30/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:30:00 30/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:30:00 30/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [07:30:00 30/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [07:30:00 30/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Rhonchi st: NotStopd t0: [07:30:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [07:30:00 30/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [07:30:00 30/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [07:30:00 30/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [07:30:00 30/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [07:30:00 30/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [07:30:00 30/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:30:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:30:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [07:30:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [07:30:00 30/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [07:30:00 30/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Rhonchi st: NotStopd t0: [07:30:00 30/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [07:30:00 30/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [07:30:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:30:00 30/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [07:30:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 30/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [07:30:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [07:30:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [07:30:00 30/11/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [07:30:00 30/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [07:30:00 30/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:30:00 30/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:30:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 30/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [07:30:00 30/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [07:30:00 30/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [07:30:00 30/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [07:30:00 30/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [07:30:00 30/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [07:30:00 30/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [07:30:00 30/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 30/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [07:30:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 30 vu: ml t0: [07:30:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [07:30:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 150 vu: ml
t0: [07:30:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 30/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: RRT v1: .. rs: Manual st: NotStopd t0: [08:00:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [08:00:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [08:00:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:00:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 860 u1: ml/B st: NotStopd t0: [08:00:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 30/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: RRT v1: .. rs: Manual st: NotStopd
t0: [07:30:00 30/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [07:30:00 30/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [07:30:00 30/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd
t0: [09:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [09:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [10:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [10:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [09:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [09:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 90 vu: ml t0: [10:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [10:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 60 vu: ml
t0: [09:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 01/12/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 40 u1: mg
t0: [09:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [11:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [12:00:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [12:00:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 820 u1: ml/B st: NotStopd t0: [12:00:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [19:00:00 30/11/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [11:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [12:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [13:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [11:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 60 vu: ml t0: [12:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 60 vu: ml
t0: [10:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 30/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 30/11/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 30/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 30/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 30/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 30/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 30/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 30/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 30/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 30/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 30/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 30/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 30/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 30/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 30/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 30/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 30/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 30/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 30/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 30/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 30/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 30/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Slide Board st: NotStopd t0: [12:00:00 30/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 30/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 30/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 30/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 30/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [12:00:00 30/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [12:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 30/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 30/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [13:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 60 vu: ml
t0: [14:00:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [14:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [13:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [14:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [14:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 60 vu: ml
t0: [11:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:15:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [13:15:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:15:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:15:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:15:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:15:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [13:15:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:15:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:15:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:30:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [13:30:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:30:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:30:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:30:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [13:30:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:30:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [10:00:00 30/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [12:00:00 30/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small
t0: [15:00:00 30/11/2010] id: Albumin 5% IV Infusions el: 3 cu: C-SICU cg: -1 ai: 209 vo: 0 st: D/C'd t0: [15:00:00 30/11/2010] id: Albumin 25% Tube Feeding el: 2 cu: C-SICU cg: -1 ai: 128 vo: 0 st: D/C'd
t0: [16:00:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 30/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [16:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [16:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 30/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 30/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 30/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [16:00:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [16:00:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [16:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [16:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 120 vu: ml
t0: [16:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [16:00:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:00:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [16:00:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:00:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 730 u1: ml/B st: NotStopd t0: [16:00:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [14:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [15:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [16:00:00 30/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 30/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 30/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 30/11/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 30/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 30/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 30/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 30/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 30/11/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [16:00:00 30/11/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 30/11/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 30/11/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 30/11/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [16:00:00 30/11/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 30/11/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 30/11/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/11/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/11/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 30/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 30/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 30/11/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 30/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 30/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 30/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 30/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 30/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 30/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 30/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 30/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 30/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 30/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 30/11/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 30/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 30/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 30/11/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 30/11/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 30/11/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 30/11/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 30/11/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 30/11/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 30/11/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 30/11/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 30/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [16:00:00 30/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [16:00:00 30/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 400 vu: ml
tf: [21:00:00 31/12/2010] pt: Unit Dose rt: PO fr: Q6H fs: 17, 23, 5, 11 dn: 4 m1: Saliva Substitute v1: 1-3 u1: ml
t0: [17:23:00 30/11/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [17:23:00 30/11/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [16:00:00 30/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 30/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 30/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [17:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 30/11/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 30/11/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 30/11/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 30/11/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 30/11/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 30/11/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 30/11/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 30/11/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 30/11/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 30/11/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 30/11/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [18:00:00 30/11/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [18:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 30/11/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 30/11/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [18:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 30/11/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 30/11/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Soft st: NotStopd t0: [18:00:00 30/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 30/11/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [18:00:00 30/11/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 30/11/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [18:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 22 vu: ml t0: [18:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [18:00:00 30/11/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [18:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:24:00 30/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 88.9 rs: Final st: NotStopd t0: [17:24:00 30/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 88.9 rs: Final st: NotStopd
t0: [17:00:00 30/11/2010] id: PTT Coags el: 0 cu: C-SICU cg: RN v1: 88.9 rs: Manual st: NotStopd t0: [17:00:00 30/11/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: RN v1: 88.9 rs: Manual st: NotStopd
t0: [18:00:00 30/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [18:15:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:30:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [18:30:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
tf: [08:00:00 07/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [20:00:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [20:00:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [20:00:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 725 u1: ml/B st: NotStopd t0: [20:00:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 30/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 30/11/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/11/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/11/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [20:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [20:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 30/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/11/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/11/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 30/11/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [20:00:00 30/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 30/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/11/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [20:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20.25 vu: ml t0: [20:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [20:00:00 30/11/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [20:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/11/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 600 ap: none
t0: [21:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 30/11/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 30/11/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [22:00:00 30/11/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 30/11/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/11/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 30/11/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [22:00:00 30/11/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [22:00:00 30/11/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/11/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 30/11/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 30/11/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 30/11/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 30/11/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 30/11/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [22:00:00 30/11/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 30/11/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 30/11/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 30/11/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 30/11/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 30/11/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 30/11/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [22:00:00 30/11/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [22:00:00 30/11/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 30/11/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 30/11/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 30/11/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 30/11/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 30/11/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [22:00:00 30/11/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 30/11/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 30/11/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 30/11/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 30/11/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 30/11/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 30/11/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 30/11/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 30/11/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 30/11/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 30/11/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [22:00:00 30/11/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 30/11/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [22:00:00 30/11/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/11/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 30/11/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 30/11/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [22:00:00 30/11/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 30/11/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [22:00:00 30/11/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [22:00:00 30/11/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/11/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 400 ap: none
t0: [23:40:00 30/11/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [23:40:00 30/11/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [23:40:00 30/11/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [23:40:00 30/11/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:40:00 30/11/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [23:40:00 30/11/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [23:40:00 30/11/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:40:00 30/11/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [23:40:00 30/11/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:40:00 30/11/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [23:40:00 30/11/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [23:40:00 30/11/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:40:00 30/11/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [23:40:00 30/11/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [23:40:00 30/11/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [23:40:00 30/11/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:40:00 30/11/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [23:40:00 30/11/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 820 u1: ml/B st: NotStopd t0: [23:40:00 30/11/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:40:00 30/11/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [23:40:00 30/11/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [23:40:00 30/11/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [23:40:00 30/11/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:40:00 30/11/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [00:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [00:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:32:00 01/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [00:32:00 01/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [00:00:00 01/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 01/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 01/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 01/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 01/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [00:00:00 01/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 01/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 01/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 01/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 01/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 01/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Angry st: NotStopd t0: [00:00:00 01/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 01/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 01/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 01/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 01/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 01/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 01/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 01/12/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 150 vu: ml t0: [00:00:00 01/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 20 vu: ml t0: [00:00:00 01/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [23:00:00 01/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 390 ap: none t0: [23:00:00 01/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [00:00:00 01/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 79.7 rs: Final st: NotStopd t0: [00:00:00 01/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 79.7 rs: Final st: NotStopd
t0: [00:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 01/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 01/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 01/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 01/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 01/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 01/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 01/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 01/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 01/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 01/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 01/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 01/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 01/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 01/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 01/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 01/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [00:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [02:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [02:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [02:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 01/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 01/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1640 ap: none t0: [23:00:00 01/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3590 ap: none t0: [23:00:00 01/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1560 ap: none t0: [23:00:00 01/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1730 ap: none t0: [23:00:00 01/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 1310 ap: carryForward t0: [23:00:00 01/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2280 ap: carryForward t0: [23:00:00 01/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 69931.3 ap: carryForward
t0: [04:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 01/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 01/12/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 01/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 01/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 01/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 01/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 01/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 01/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [04:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [01:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [03:54:00 01/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [03:54:00 01/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [04:00:00 01/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.4 u1: % rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [04:10:00 01/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:10:00 01/12/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 27.1801 u1: units st: NotStopd t0: [04:10:00 01/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:10:00 01/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [04:10:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:10:00 01/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:10:00 01/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [04:10:00 01/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:10:00 01/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:10:00 01/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:10:00 01/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:10:00 01/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [04:10:00 01/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:10:00 01/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:10:00 01/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:10:00 01/12/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 27.1801 u1: units st: NotStopd t0: [04:10:00 01/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:10:00 01/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:10:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:10:00 01/12/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:10:00 01/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.883 u1: L st: NotStopd t0: [04:10:00 01/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [04:10:00 01/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:10:00 01/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:10:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:10:00 01/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:10:00 01/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:10:00 01/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 01/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 68.3 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 68.3 rs: Final st: NotStopd
t0: [04:00:00 01/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 197 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [04:00:00 01/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1520 rs: Final st: NotStopd t0: [04:00:00 01/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd
t0: [04:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 01/12/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: done t0: [05:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 01/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [05:00:00 01/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 01/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 01/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 01/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 01/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 01/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [05:00:00 01/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [05:00:00 01/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 01/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [05:00:00 01/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [05:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [05:00:00 01/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [05:00:00 01/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [05:00:00 01/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [05:00:00 01/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [05:00:00 01/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 01/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 01/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 01/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 01/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [05:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [05:00:00 01/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 01/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 01/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 01/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [05:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 01/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 01/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 01/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 01/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [05:00:00 01/12/2010] id: Stool Management el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 01/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 01/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 01/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [05:00:00 01/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [05:00:00 01/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [05:00:00 01/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 01/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [05:00:00 01/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [05:00:00 01/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [05:00:00 01/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [05:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [04:00:00 01/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [05:34:00 01/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [05:34:00 01/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd
t0: [06:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 01/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 01/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [06:00:00 01/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd
t0: [06:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [06:00:00 01/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [04:00:00 01/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 0.9 u1: ng rs: Final st: NotStopd
t0: [08:00:00 01/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 01/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 01/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [08:00:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 01/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 01/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 01/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 01/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 01/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 01/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [08:00:00 01/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 01/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 01/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 01/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 01/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 820 u1: ml/B st: NotStopd t0: [08:00:00 01/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 01/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 01/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 01/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 01/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 01/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 01/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 01/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 01/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 01/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 01/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 01/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 01/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 01/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 01/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 01/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 01/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 01/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 01/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 01/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 01/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 01/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 01/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 01/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 01/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 01/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 114 u1: kg st: NotStopd t0: [08:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [08:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 01/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 01/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 01/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 01/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/12/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.58025 u1: m2 st: NotStopd t0: [08:00:00 01/12/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.83591 u1: m2 st: NotStopd t0: [08:00:00 01/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/12/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: -0.4 u1: kg st: NotStopd t0: [08:00:00 01/12/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [08:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 01/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 01/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 01/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 01/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 01/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 01/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 01/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 01/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [08:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [09:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [09:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 01/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 01/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [10:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [10:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [10:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [10:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 01/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [10:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [10:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 28/12/2010] pt: Unit Dose rt: PO fr: QD fs: 22 dn: 1 m1: Ursodiol v1: 600 u1: mg
t0: [11:00:00 01/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [11:00:00 01/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 01/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [11:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 01/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 01/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 01/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 01/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 01/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 01/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 01/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 01/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 01/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 01/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 01/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 01/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 01/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [12:00:00 01/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 01/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 01/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 01/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [12:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 01/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 01/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 01/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 01/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 01/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 01/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [12:00:00 01/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 01/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 01/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 01/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [12:00:00 01/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [12:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:00:00 01/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 01/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [12:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [12:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 01/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 01/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [12:00:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 01/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 01/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 01/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 01/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 01/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 01/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [12:00:00 01/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 01/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 01/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 01/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [12:00:00 01/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 01/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 01/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 01/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 01/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:28:00 01/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:28:00 01/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [12:28:00 01/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [12:28:00 01/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [12:28:00 01/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [12:28:00 01/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [12:00:00 01/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [12:00:00 01/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 149 rs: Manual st: NotStopd t0: [13:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [13:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT u1: torr st: NotStopd
t0: [13:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [13:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 01/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 01/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [14:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [14:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 01/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [14:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 01/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 01/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [14:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [14:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [21:00:00 31/12/2010] pt: Unit Dose rt: TP fr: PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
t0: [13:00:00 01/12/2010] id: PASSY MUIR VALVE el: 0 cu: C-SICU cg: RN v1: ON t0: [13:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Deflated st: NotStopd
t0: [16:00:00 01/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 01/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 01/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [16:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 01/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 01/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 01/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 01/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 01/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 01/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 01/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 01/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 01/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 01/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 01/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 01/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 01/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 01/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 01/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [16:00:00 01/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 01/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 01/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 01/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [16:00:00 01/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 01/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 01/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 01/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [16:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 01/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 01/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 01/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 01/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 01/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 01/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [16:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 01/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 01/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 01/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [16:00:00 01/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [16:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 01/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 01/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [16:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [16:00:00 01/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [16:00:00 01/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 01/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [16:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 01/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 01/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 01/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 01/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 01/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 01/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 01/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 01/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: No Impairment st: NotStopd
t0: [16:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [16:00:00 01/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [16:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 01/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [16:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [16:00:00 01/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [16:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 01/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [16:00:00 01/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 01/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:00:00 01/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 01/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 01/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 01/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [16:00:00 01/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 01/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 01/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 01/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:00:00 01/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 01/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [16:00:00 01/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 01/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 01/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [16:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 01/12/2010] id: PASSY MUIR VALVE el: 0 cu: C-SICU cg: RN v1: ON t0: [17:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Deflated st: NotStopd t0: [18:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 01/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 01/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [18:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 01/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [18:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [18:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 01/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [18:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 01/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [18:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [18:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [18:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [18:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 01/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Bronchoscopy st: NotStopd t0: [18:00:00 01/12/2010] id: PASSY MUIR VALVE el: 0 cu: C-SICU cg: RN v1: OFF t0: [18:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [19:00:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [19:00:00 01/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [19:00:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Deflated st: NotStopd
t0: [19:45:00 01/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [19:45:00 01/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [19:45:00 01/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [19:45:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:45:00 01/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:45:00 01/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [19:45:00 01/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [19:45:00 01/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [19:45:00 01/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [19:45:00 01/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [19:45:00 01/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:45:00 01/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [19:45:00 01/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [19:45:00 01/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [19:45:00 01/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:45:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [19:45:00 01/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 880 u1: ml/B st: NotStopd t0: [19:45:00 01/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [19:45:00 01/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [19:45:00 01/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [19:45:00 01/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [19:45:00 01/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:45:00 01/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 01/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [19:00:00 01/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Trach Mask st: NotStopd t0: [20:00:00 01/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 01/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [20:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Angry st: NotStopd t0: [20:00:00 01/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 01/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 01/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 01/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 01/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 01/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 01/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 01/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 01/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 01/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [20:00:00 01/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 01/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 01/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 01/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 01/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [20:00:00 01/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [20:00:00 01/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 01/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 01/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 01/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 01/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [20:00:00 01/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 01/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 01/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 01/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 01/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 01/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 01/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 01/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 01/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 01/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 01/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 01/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 01/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [20:00:00 01/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [22:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [22:00:00 01/12/2010] id: Packed RBC's IV Infusions el: 3 cu: C-SICU cg: -1 ai: 222 vo: 0 st: D/C'd
tf: [14:00:00 28/12/2010] pt: Unit Dose rt: PO fr: BID fs: 08, 16 dn: 2 m1: Ursodiol v1: 300 u1: mg
t0: [19:00:00 01/12/2010] id: PASSY MUIR VALVE el: 0 cu: C-SICU cg: RN v1: ON t0: [20:00:00 01/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 01/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 01/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 01/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 01/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 01/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2010] id: Inc Dsg/Status #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 01/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 01/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 01/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [22:00:00 01/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 01/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 01/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 01/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 01/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 01/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 01/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [22:00:00 01/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 01/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 01/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 01/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 01/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [22:00:00 01/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 01/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 01/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 01/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 01/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [22:00:00 01/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [22:00:00 01/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [22:00:00 01/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [22:00:00 01/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 01/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [22:00:00 01/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [22:00:00 01/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [22:00:00 01/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 550 ap: none
t0: [22:00:00 01/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml
t0: [00:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 02/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 02/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [00:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 02/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [00:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 02/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [00:00:00 02/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml
t0: [00:15:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:15:00 02/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:15:00 02/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [00:15:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:15:00 02/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:15:00 02/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:15:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:15:00 02/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:15:00 02/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:15:00 02/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:15:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [00:15:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:15:00 02/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:15:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:15:00 02/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:15:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [00:15:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:15:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:15:00 02/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:15:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:15:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:15:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [01:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [01:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 02/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [01:00:00 02/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [01:00:00 02/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [01:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/12/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 75 vu: ml nb: 1 t0: [01:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [01:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 90 cv: 90 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 25 cv: 1307.5 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 65 cv: 1235 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 90 cv: 2145 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 90 cv: 2615 ap: carryForward
t0: [00:00:00 02/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd
t0: [01:00:00 02/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vu: ml nb: 1
t0: [23:00:00 02/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 90 cv: 3522.5 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 980 ap: none t0: [23:00:00 02/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 0 cv: 907.5 ap: carryForward t0: [23:00:00 02/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 0 cv: 70838.8 ap: carryForward
t0: [02:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [02:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [03:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [03:00:00 02/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [03:00:00 02/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [03:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [03:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [03:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 02/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [03:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 02/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 02/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [03:00:00 02/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous st: NotStopd t0: [03:00:00 02/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [03:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [03:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [03:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 02/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 02/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [03:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 02/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [03:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [03:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [03:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [03:00:00 02/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 02/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [03:00:00 02/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [03:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 02/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [03:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 02/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 02/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [03:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [03:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [03:00:00 02/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [03:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:42:00 02/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [03:42:00 02/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [03:42:00 02/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:42:00 02/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:42:00 02/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [03:42:00 02/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [04:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [04:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 02/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [04:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [04:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:55:00 02/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.9 rs: Final st: NotStopd
t0: [03:55:00 02/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 65.6 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 65.6 rs: Final st: NotStopd
t0: [05:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [05:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [05:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:55:00 02/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 195 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 179 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 02/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:00:00 02/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [05:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 02/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 02/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [05:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 02/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 02/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 02/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [05:00:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 02/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 02/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [05:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 02/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [03:55:00 02/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1552 rs: Final st: NotStopd t0: [03:55:00 02/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd
t0: [05:00:00 02/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 02/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [05:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 02/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN t0: [05:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [05:00:00 02/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [05:00:00 02/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [05:00:00 02/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [05:00:00 02/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [05:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [05:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [05:00:00 02/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples st: NotStopd t0: [05:00:00 02/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 02/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [05:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 02/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [05:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [05:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 02/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [05:00:00 02/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 02/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 02/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 02/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 02/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 02/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [05:00:00 02/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [05:00:00 02/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [05:00:00 02/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 02/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [05:00:00 02/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [05:00:00 02/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [05:00:00 02/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [06:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [06:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [06:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd
t0: [05:30:00 02/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [06:00:00 02/12/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 41.0256 u1: units st: NotStopd t0: [06:00:00 02/12/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 41.0256 u1: units st: NotStopd t0: [06:00:00 02/12/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [06:00:00 02/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.585 u1: L st: NotStopd
t0: [05:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 02/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [07:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [07:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [07:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [07:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [07:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 02/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 02/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [08:00:00 02/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 02/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 02/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 02/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.3333 u1: Deg. C st: NotStopd t0: [08:00:00 02/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.6 u1: Deg. F st: NotStopd t0: [08:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 02/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 02/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 02/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 02/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [08:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [08:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 02/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 02/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [08:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 02/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 02/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 02/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 02/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 02/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [08:00:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 02/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 02/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 664 u1: ml/B st: NotStopd t0: [08:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 02/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 02/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 02/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [09:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [09:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [09:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
id: Dopamine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ra: 0 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [09:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [09:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [08:00:00 02/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 02/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd
t0: [08:00:00 02/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 02/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 02/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 02/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 02/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 02/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [10:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [10:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [10:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 02/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [10:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/12/2010] tf: [11:00:00 06/12/2010] dt: 5880 id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [10:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
tf: [08:00:00 02/12/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 30 u1: mg tf: [09:00:00 05/12/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 20 u1: mg tf: [10:00:00 06/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml tf: [10:00:00 07/12/2010] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Digoxin v1: 0.25 u1: mg tf: [08:00:00 20/12/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg
t0: [08:00:00 02/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [10:00:00 02/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [11:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [11:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 450 vu: ml t0: [11:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [11:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [11:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 02/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 02/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [12:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 02/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 02/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 02/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [12:00:00 02/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 02/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [12:00:00 02/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 02/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 93 u1: % st: NotStopd t0: [12:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 798 u1: ml/B st: NotStopd t0: [12:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 02/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd
t0: [12:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 02/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 02/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 02/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 02/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [12:00:00 02/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [12:00:00 02/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 02/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 02/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [12:00:00 02/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 02/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 02/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [12:00:00 02/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [12:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 02/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [12:00:00 02/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 02/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [12:00:00 02/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 02/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 02/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 02/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 250 vu: ml t0: [12:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [12:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:37:00 02/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 0.8 u1: ng rs: Final st: NotStopd
t0: [12:00:00 02/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 02/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 02/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 02/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 02/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 125 rs: Manual st: NotStopd t0: [13:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [13:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/12/2010] tf: [21:17:00 07/12/2010] dt: 7877 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [10:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [11:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [12:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [13:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [13:00:00 02/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 150 vu: ml t0: [13:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [13:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [14:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 02/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [14:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [14:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [14:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 02/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [14:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [14:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [14:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 02/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [14:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [14:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [14:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:00:00 02/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 02/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [16:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 02/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 02/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 02/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 02/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [16:00:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 02/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:00:00 02/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 562 u1: ml/B st: NotStopd t0: [16:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 02/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 02/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: CT scan st: NotStopd t0: [16:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 02/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 02/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 02/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 02/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 02/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 02/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [16:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 02/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 02/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 02/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 02/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 02/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 02/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 02/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 02/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [15:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [15:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [15:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [16:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [16:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [15:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:31:00 02/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 13.6798 u1: ml/dl st: NotStopd t0: [16:31:00 02/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [16:31:00 02/12/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [16:00:00 02/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 02/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [17:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [17:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [17:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [17:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [17:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [17:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [17:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [17:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [17:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [17:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [17:00:00 02/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [17:00:00 02/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [16:36:00 02/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [16:36:00 02/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:36:00 02/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 68.6 rs: Final st: NotStopd t0: [16:36:00 02/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:36:00 02/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [16:36:00 02/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 68.6 rs: Final st: NotStopd
t0: [17:00:00 02/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 02/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.3333 u1: Deg. C st: NotStopd t0: [17:00:00 02/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.6 u1: Deg. F st: NotStopd t0: [18:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 02/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 02/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [18:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 02/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [18:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [18:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [18:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [18:00:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [18:00:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [10:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [10:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [10:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [10:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [15:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [15:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [15:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [15:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [15:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 02/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [15:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 02/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [15:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [15:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [15:00:00 02/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [15:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [16:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 02/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 02/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 02/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [17:00:00 02/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 02/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 02/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [18:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [18:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [18:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 02/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Trach Mask st: NotStopd t0: [18:00:00 02/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [18:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [18:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [18:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [18:00:00 02/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [12:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [19:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [19:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [19:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [20:00:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 02/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 02/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [20:00:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 02/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 02/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 02/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 02/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 02/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [20:00:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 02/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [20:00:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 02/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:28:00 02/12/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: D5W el: 2 cu: C-SICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [20:28:00 02/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 13.7418 u1: ml/dl st: NotStopd t0: [20:28:00 02/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [20:28:00 02/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [20:00:00 02/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 02/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 02/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 02/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 02/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 02/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 02/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 02/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 02/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 02/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [20:00:00 02/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 02/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 02/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 02/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 02/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 02/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 02/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 02/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 02/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool st: NotStopd t0: [20:00:00 02/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 02/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [20:00:00 02/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool st: NotStopd t0: [20:00:00 02/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 02/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 02/12/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 02/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [20:00:00 02/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [20:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 02/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 02/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 02/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 02/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 02/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 02/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 02/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 02/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 02/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [21:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [21:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [21:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [21:30:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [21:30:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:30:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [20:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [20:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 02/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Large t0: [20:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [20:30:00 02/12/2010] tf: [21:17:00 07/12/2010] dt: 7247 id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 157.5 vu: ml t0: [20:30:00 02/12/2010] tf: [20:00:00 03/12/2010] dt: 1410 id: D5W IV Infusions el: 2 cu: C-SICU cg: RN ai: 168 vo: 10 vu: ml t0: [20:30:00 02/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vu: ml t0: [21:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [21:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [21:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 02/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [21:00:00 02/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [21:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [21:00:00 02/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 120 vu: ml
t0: [20:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 470 ap: none
t0: [20:00:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:30:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [21:30:00 02/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:30:00 02/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [21:30:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [21:30:00 02/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [21:30:00 02/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:30:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [21:30:00 02/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:30:00 02/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:30:00 02/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:30:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 8 u1: cmH2O st: NotStopd t0: [21:30:00 02/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [21:30:00 02/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [21:30:00 02/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:30:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RN v1: 5 u1: . st: NotStopd t0: [21:30:00 02/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:30:00 02/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:30:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:30:00 02/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [21:30:00 02/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [21:30:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:30:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [21:30:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RN v1: 510 u1: ml/B st: NotStopd t0: [21:30:00 02/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:30:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [21:30:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [21:30:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [21:30:00 02/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [21:30:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: CPAP+PS st: NotStopd t0: [21:30:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [22:30:00 02/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:30:00 02/12/2010] id: BATH el: 0 cu: C-SICU cg: RN t0: [22:30:00 02/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [22:30:00 02/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [22:30:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 02/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:30:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [22:30:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:30:00 02/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [22:30:00 02/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 02/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [22:30:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:30:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [22:30:00 02/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:30:00 02/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:30:00 02/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN t0: [22:30:00 02/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [22:30:00 02/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [22:30:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [22:30:00 02/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:30:00 02/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RN v1: 12.8 u1: L/min st: NotStopd t0: [22:30:00 02/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN st: NotStopd t0: [22:30:00 02/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 8 u1: cmH2O st: NotStopd t0: [22:30:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:30:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:30:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:30:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:30:00 02/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RN v1: 5 u1: . st: NotStopd t0: [22:30:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:30:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [22:30:00 02/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:30:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:30:00 02/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:30:00 02/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:30:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:30:00 02/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RN v1: 511 u1: ml/B st: NotStopd t0: [22:30:00 02/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [22:30:00 02/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [22:30:00 02/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [22:30:00 02/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: CPAP+PS st: NotStopd t0: [22:30:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [22:30:00 02/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 02/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd
t0: [22:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [22:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 02/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Large t0: [22:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [22:30:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:30:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 03/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 03/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 24 t0: [00:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 03/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 03/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 03/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [00:00:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 03/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:00:00 03/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [00:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 03/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 03/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [01:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN u1: Deg. F st: NotStopd
t0: [00:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 02/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [23:00:00 02/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [23:00:00 02/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 02/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 02/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 02/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 02/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 02/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 02/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [23:00:00 02/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 02/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 02/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [00:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [00:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [01:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [01:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [01:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [02:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [02:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 02/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:20:00 03/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [02:20:00 03/12/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 13.6612 u1: ml/dl st: NotStopd t0: [02:20:00 03/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [02:20:00 03/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:20:00 03/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [02:20:00 03/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:20:00 03/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [02:20:00 03/12/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 02/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [23:00:00 02/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 02/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 02/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [02:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [02:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [02:00:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RN v1: 5 u1: . st: NotStopd t0: [02:00:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RN v1: 578 u1: ml/B st: NotStopd t0: [02:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [02:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [02:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [02:00:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: CPAP+PS st: NotStopd t0: [02:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [22:00:00 02/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 10 vu: ml t0: [22:00:00 02/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [23:00:00 02/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [23:00:00 02/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [23:00:00 02/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 02/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [00:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [00:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [00:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [01:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [01:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [02:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [02:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [23:00:00 03/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1415 ap: none t0: [23:00:00 03/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 2670 ap: none t0: [23:00:00 03/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 280 ap: none t0: [23:00:00 03/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 975 ap: none t0: [23:00:00 03/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1980 ap: none
t0: [21:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [21:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [21:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [21:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 02/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [21:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 02/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 02/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 02/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 02/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [23:00:00 02/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [23:00:00 02/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [23:00:00 02/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 02/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 02/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 02/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 02/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [02:30:00 03/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v2: Thick st: NotStopd t0: [02:30:00 03/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [00:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [23:00:00 03/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 03/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 03/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 590 ap: estimateVol t0: [23:00:00 03/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2080 ap: estimateVol t0: [23:00:00 03/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 71428.8 ap: estimateVol
t0: [02:24:00 03/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 17.8 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 17.8 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 32.8 u1: % rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.55 u1: /mic l rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 17.8 rs: Final st: NotStopd
t0: [02:24:00 03/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 195 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 202 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [02:24:00 03/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 68.2 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 68.2 rs: Final st: NotStopd
t0: [02:24:00 03/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23.9 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1845 rs: Final st: NotStopd t0: [02:24:00 03/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23.9 rs: Final st: NotStopd
t0: [02:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [03:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [03:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [03:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [03:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 03/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 03/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 03/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 03/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 03/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [00:00:00 03/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 03/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [00:00:00 03/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 03/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 03/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 03/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 03/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 03/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 03/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 03/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/12/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 03/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 03/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 03/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [01:00:00 03/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [01:00:00 03/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [01:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [03:00:00 03/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 03/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 03/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 03/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 03/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [04:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [04:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:05:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [04:05:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:05:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RN v1: 12.7 u1: L/min st: NotStopd t0: [04:05:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [04:05:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RN v1: 5 u1: . st: NotStopd t0: [04:05:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:05:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RN v1: 667 u1: ml/B st: NotStopd t0: [04:05:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [04:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [04:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [04:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:00:00 03/12/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 43.1034 u1: units st: NotStopd t0: [04:00:00 03/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 03/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 18 t0: [04:00:00 03/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 03/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [04:00:00 03/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 03/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [04:00:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 03/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 03/12/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 43.1034 u1: units st: NotStopd t0: [04:00:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 03/12/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 03/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.58 u1: L st: NotStopd t0: [04:00:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 03/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [04:00:00 03/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 03/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 03/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 03/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 03/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 03/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 03/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 03/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 03/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 03/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 03/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 03/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 03/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 03/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 03/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [05:00:00 03/12/2010] id: BATH el: 0 cu: C-SICU cg: RN t0: [05:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 03/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [05:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [05:00:00 03/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 03/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [05:00:00 03/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [05:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [05:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 03/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 03/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [05:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [05:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [05:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [05:00:00 03/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RN v1: 13.8 u1: L/min st: NotStopd t0: [05:30:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RN v1: 5 u1: . st: NotStopd t0: [05:30:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:30:00 03/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:30:00 03/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [05:30:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RN v1: 466 u1: ml/B st: NotStopd t0: [05:30:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: CPAP+PS st: NotStopd t0: [05:30:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [00:00:00 03/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [00:00:00 03/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [03:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [04:00:00 03/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Large t0: [05:30:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 15 vu: ml t0: [05:30:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 5 vu: ml t0: [05:30:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [05:30:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 97.5 vu: ml
t0: [05:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [05:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN st: NotStopd t0: [05:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:30:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [06:30:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:30:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:30:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:30:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:30:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:30:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:30:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:30:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:30:00 03/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 113.6 u1: kg st: NotStopd t0: [06:30:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:30:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:30:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:30:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [06:30:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:30:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [06:30:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:30:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 03/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 03/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 50 vu: ml t0: [06:30:00 03/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [08:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 03/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 03/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [08:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 03/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 03/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 03/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 03/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 03/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.8 u1: L/min st: NotStopd t0: [08:00:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 03/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 655 u1: ml/B st: NotStopd t0: [08:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 03/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 03/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 03/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 03/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 03/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 03/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 03/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 03/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 03/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 03/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 03/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 03/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 03/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 03/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 03/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 03/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 03/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 03/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 03/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 03/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 03/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 03/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 03/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [08:00:00 03/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [08:00:00 03/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 03/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 03/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 03/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 03/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 03/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 03/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Sputum Cx st: NotStopd t0: [08:00:00 03/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [08:00:00 03/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 03/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 03/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 03/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 03/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 03/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [08:00:00 03/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 03/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 03/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 03/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 03/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 03/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 03/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 03/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 03/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 15 vu: ml t0: [08:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 15 vu: ml t0: [08:00:00 03/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [08:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [08:00:00 03/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [08:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 97.5 vu: ml
t0: [08:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 03/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Pan Cultured st: NotStopd t0: [09:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [09:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [09:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml st: Stopped
t0: [09:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 03/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 03/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [09:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [09:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [09:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 03/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [09:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [10:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 03/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [10:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [10:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [10:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 03/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Cultured st: NotStopd t0: [10:45:00 03/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [10:45:00 03/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [11:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [11:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [11:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [11:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 03/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [10:00:00 03/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [10:00:00 03/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [10:00:00 03/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [10:00:00 03/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 03/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [09:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 03/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 03/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 03/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 03/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 03/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 03/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 03/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 03/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 03/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 03/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 03/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 03/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 03/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [12:00:00 03/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 03/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 03/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 03/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 03/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 03/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 03/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 03/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 03/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 03/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 03/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [12:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [12:00:00 03/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 03/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 03/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [12:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [12:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [13:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [13:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [13:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [21:00:00 31/12/2010] pt: Unit Dose rt: TP fr: PRN m1: Nystatin Ointment v1: 1 u1: Appl
t0: [13:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [13:00:00 03/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [13:00:00 03/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [13:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 03/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 03/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [13:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:00:00 03/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [13:00:00 03/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [13:00:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [13:00:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 03/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:00:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:00:00 03/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [13:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [13:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [13:00:00 03/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [13:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [13:00:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [14:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 03/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 03/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [14:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [14:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 03/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml
t0: [14:40:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:40:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:40:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:40:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:40:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:40:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:40:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:40:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:40:00 03/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Angiography st: NotStopd t0: [14:40:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:40:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:40:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:40:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:40:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [17:00:00 03/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [17:00:00 03/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [17:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 03/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 03/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [17:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 03/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [17:00:00 03/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7.7 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [17:00:00 03/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 03/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:00:00 03/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [17:00:00 03/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [17:00:00 03/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 482 u1: ml/B st: NotStopd t0: [17:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [17:00:00 03/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [17:00:00 03/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 03/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 03/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 03/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 03/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 03/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 03/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 03/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 03/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 03/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 03/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 03/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 03/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 03/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 03/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 03/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 03/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 03/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 03/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 03/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 03/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 03/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 03/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 03/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 03/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 03/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:30:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:30:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:30:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:30:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:30:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:30:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:30:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [17:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [17:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [17:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 03/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [17:00:00 03/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [17:00:00 03/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:00:00 03/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [17:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.1667 u1: Deg. C st: NotStopd t0: [17:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.3 u1: Deg. F st: NotStopd t0: [17:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 03/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 20 vu: ml t0: [17:00:00 03/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 200 vu: ml t0: [17:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 30 vu: ml t0: [17:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 30 vu: ml t0: [17:00:00 03/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 20 vu: ml t0: [17:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [17:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 0 vu: ml st: Restart
t0: [16:30:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 03/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 03/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [18:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 03/12/2010] tf: [12:00:00 05/12/2010] dt: 2520 id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 03/12/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd
t0: [10:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [12:00:00 03/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [14:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [18:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [18:00:00 03/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [20:00:00 03/12/2010] id: D5W IV Infusions el: 2 cu: C-SICU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [20:00:00 03/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 03/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 03/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [20:00:00 03/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 03/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 03/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 03/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 03/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 03/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 03/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 03/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 03/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 03/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 03/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [20:00:00 03/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 03/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 03/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 03/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [20:00:00 03/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 03/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [20:00:00 03/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 03/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 03/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 03/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 03/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 03/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 03/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 03/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 03/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 03/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [20:00:00 03/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 03/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 03/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 03/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 03/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 03/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 03/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [20:00:00 03/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 03/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 03/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 03/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 03/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [20:00:00 03/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [20:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 03/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [20:00:00 03/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [20:00:00 03/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [20:00:00 03/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [20:00:00 03/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 03/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 03/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Cooperative st: NotStopd t0: [20:00:00 03/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 03/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 03/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 03/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 03/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 03/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 03/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 03/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 03/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 200 vu: ml t0: [20:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [20:00:00 03/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [20:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [20:00:00 03/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml t0: [20:00:00 03/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [20:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 100 ap: none
t0: [22:00:00 03/12/2010] id: saturated chux pad el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [20:00:00 03/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 03/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 03/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 03/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 03/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 03/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 03/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 03/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 03/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 03/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 03/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 03/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 03/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 03/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [22:00:00 03/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 03/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 03/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [22:00:00 03/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [22:00:00 03/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 03/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [22:00:00 03/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 03/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 03/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 03/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 03/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 03/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 03/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 03/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 03/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [23:00:00 03/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 91 rs: Manual st: NotStopd t0: [00:00:00 04/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 04/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 04/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [00:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 04/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 04/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 04/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 04/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 04/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 04/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 04/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 04/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 04/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 04/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 04/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [00:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 04/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 04/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 04/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 04/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 04/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 04/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 04/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [00:00:00 04/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 04/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 04/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 04/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Mottled st: NotStopd t0: [00:00:00 04/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 04/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 04/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 04/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 04/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 04/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 04/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 04/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [00:00:00 04/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 04/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 04/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 04/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [00:00:00 04/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [00:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 04/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [00:00:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [00:00:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [00:00:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [00:00:00 04/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 04/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Cooperative st: NotStopd t0: [00:00:00 04/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [00:00:00 04/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 04/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 04/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 04/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [00:00:00 04/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 04/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 04/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [23:00:00 03/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [00:00:00 04/12/2010] id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 116 vo: 100 vu: ml t0: [00:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [00:00:00 04/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [00:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [00:00:00 04/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 50 vu: ml
t0: [00:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 04/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 500 ap: none t0: [23:00:00 04/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 470 ap: none
t0: [00:48:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:48:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:48:00 04/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [00:48:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:48:00 04/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:48:00 04/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:48:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:48:00 04/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:48:00 04/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:48:00 04/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [00:48:00 04/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:48:00 04/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:48:00 04/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:48:00 04/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:48:00 04/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:48:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:48:00 04/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 725 u1: ml/B st: NotStopd t0: [00:48:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:48:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:48:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:48:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:48:00 04/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:48:00 04/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [02:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [02:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [02:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [02:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [02:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1610 ap: none t0: [23:00:00 04/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3640 ap: none t0: [23:00:00 04/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1560 ap: none
t0: [02:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [02:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [23:00:00 04/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 04/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 04/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1960 ap: none t0: [23:00:00 04/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 1180 ap: none t0: [23:00:00 04/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2460 ap: none t0: [23:00:00 04/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 72608.8 ap: carryForward
t0: [02:20:00 04/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [02:20:00 04/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:20:00 04/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:20:00 04/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [02:20:00 04/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [02:20:00 04/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [02:00:00 04/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.6 u1: % rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.37 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [02:00:00 04/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd
t0: [02:00:00 04/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 82.5 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 82.5 rs: Final st: NotStopd
t0: [02:00:00 04/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:00:00 04/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [02:00:00 04/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.2 u1: ng rs: Final st: NotStopd
t0: [01:00:00 04/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 04/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 04/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 04/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 04/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [04:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 04/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 04/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 04/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 04/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 04/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 04/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 04/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [04:00:00 04/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 04/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 04/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 04/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 04/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 04/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 04/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 04/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 04/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 04/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 04/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [04:00:00 04/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [04:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [04:00:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [04:00:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [04:00:00 04/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 04/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 04/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [04:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [04:00:00 04/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [04:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [04:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [04:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [04:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 04/12/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 33.8462 u1: units st: NotStopd t0: [05:00:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:00:00 04/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [05:00:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 04/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 04/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [05:00:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 04/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 04/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:00:00 04/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 04/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [05:00:00 04/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 04/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 04/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 04/12/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 33.8462 u1: units st: NotStopd t0: [05:00:00 04/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [05:00:00 04/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 04/12/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:00:00 04/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.65 u1: L st: NotStopd t0: [05:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 04/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 04/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 04/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [02:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [04:00:00 04/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 04/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [04:00:00 04/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd t0: [06:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 04/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [06:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [06:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [06:00:00 04/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [06:00:00 04/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [06:00:00 04/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [06:00:00 04/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 04/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 04/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [06:00:00 04/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [06:00:00 04/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [06:00:00 04/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [06:00:00 04/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 04/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 04/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 04/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [06:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 04/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [06:00:00 04/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [06:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [06:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 04/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [06:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [06:00:00 04/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [06:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [09:00:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [09:00:00 04/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [09:00:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 04/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 04/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [09:00:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 04/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [09:00:00 04/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 04/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [09:00:00 04/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 04/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:00:00 04/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [09:00:00 04/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [09:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 04/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 541 u1: ml/B st: NotStopd t0: [09:00:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:00:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [09:00:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [09:00:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [09:00:00 04/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 04/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:30:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:30:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:30:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:30:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:30:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:30:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:30:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:30:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:30:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 04/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:30:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [08:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [08:30:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:30:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:30:00 04/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:30:00 04/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [09:00:00 04/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 04/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 04/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [09:00:00 04/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [09:00:00 04/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [09:00:00 04/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 04/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [09:00:00 04/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [09:00:00 04/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [09:00:00 04/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [09:00:00 04/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 04/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [09:00:00 04/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [09:00:00 04/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [09:00:00 04/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [09:00:00 04/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 04/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 04/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 04/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 04/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 04/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 04/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [09:00:00 04/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [09:00:00 04/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 04/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 04/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 04/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 04/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [09:00:00 04/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 04/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 04/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 04/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [09:00:00 04/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 04/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 04/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [09:00:00 04/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 04/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 04/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 04/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [09:00:00 04/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 04/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [09:00:00 04/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:30:00 04/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:30:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:30:00 04/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [09:00:00 04/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [09:00:00 04/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [09:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [09:00:00 04/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 04/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 04/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [09:00:00 04/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 04/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 04/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [09:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [09:00:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [09:00:00 04/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 04/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 04/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 04/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 04/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [09:30:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:30:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 04/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml
t0: [10:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [08:00:00 16/12/2010] pt: Unit Dose rt: PO fr: Q24H fs: 11 dn: 1 m1: Levofloxacin v1: 500 u1: mg
t0: [11:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [11:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [11:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 30 vu: ml t0: [11:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 30 vu: ml t0: [11:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [11:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 195 vu: ml
t0: [11:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 04/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 04/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 04/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 04/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 04/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 04/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 04/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 04/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 04/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 04/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 04/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [12:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 04/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 04/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [12:00:00 04/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 04/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [12:00:00 04/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 04/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 04/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 04/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 04/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 04/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 04/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 04/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 04/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 04/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 04/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 04/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 04/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 04/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 04/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 04/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [12:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 04/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 04/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:00:00 04/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 04/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [12:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [12:00:00 04/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [12:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 04/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [12:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [12:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 04/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 04/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [12:43:00 04/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [12:43:00 04/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [12:43:00 04/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:43:00 04/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [12:43:00 04/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [12:43:00 04/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [12:43:00 04/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.15 rs: Final st: NotStopd
t0: [14:00:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [14:00:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [14:00:00 04/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [14:00:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 04/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 04/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [14:00:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [14:00:00 04/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [14:00:00 04/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [14:00:00 04/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.9 u1: L/min st: NotStopd t0: [14:00:00 04/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 04/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [14:00:00 04/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [14:00:00 04/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [14:00:00 04/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [14:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [14:00:00 04/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 767 u1: ml/B st: NotStopd t0: [14:00:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [14:00:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [14:00:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [14:00:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [14:00:00 04/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [14:00:00 04/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:36:00 04/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [12:36:00 04/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [12:36:00 04/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [12:36:00 04/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [13:30:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [13:30:00 04/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [13:30:00 04/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:30:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [13:30:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [13:30:00 04/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [14:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [14:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [14:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [14:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [14:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [13:00:00 27/12/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg
t0: [14:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 04/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 04/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [16:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 04/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [16:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [16:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [16:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 04/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 04/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 04/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 04/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 04/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 04/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 04/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 04/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 04/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 04/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 04/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 04/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 04/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 04/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 04/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [16:00:00 04/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 04/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 04/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 04/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 04/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 04/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 04/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 04/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 04/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 04/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 04/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 04/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 04/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 04/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 04/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 04/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 04/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 04/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 04/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 04/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 04/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 04/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 04/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml
t0: [16:34:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:34:00 04/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [16:34:00 04/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [16:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [17:00:00 04/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 04/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [17:00:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [17:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 04/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 04/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 04/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thin st: NotStopd t0: [17:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 04/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 04/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [17:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:20:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [17:20:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [17:20:00 04/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [17:20:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:20:00 04/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:20:00 04/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [17:20:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:20:00 04/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [17:20:00 04/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [17:20:00 04/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [17:20:00 04/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:20:00 04/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [17:20:00 04/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:20:00 04/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [17:20:00 04/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:20:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [17:20:00 04/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 287 u1: ml/B st: NotStopd t0: [17:20:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:20:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [17:20:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [17:20:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [17:20:00 04/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:20:00 04/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [18:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [18:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [18:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 04/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 139 rs: Manual st: NotStopd
t0: [18:00:00 04/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [18:00:00 04/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [18:00:00 04/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [19:00:00 04/12/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/12/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/12/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [19:00:00 04/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:34:00 04/12/2010] id: PASSY MUIR VALVE el: 0 cu: C-SICU cg: RN t0: [16:34:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 04/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 04/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [20:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 04/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 04/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 04/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 04/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 04/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 04/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [20:00:00 04/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 04/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 04/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: ON t0: [20:00:00 04/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 04/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [20:00:00 04/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 04/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 04/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 04/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 04/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 04/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 04/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 04/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 04/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 04/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 04/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [20:00:00 04/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 04/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 04/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 04/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 04/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 04/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 04/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [20:00:00 04/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 04/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 04/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [20:00:00 04/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [20:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [20:00:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [20:00:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [20:00:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [20:00:00 04/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 04/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [20:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 04/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 04/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 210 vu: ml t0: [20:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [20:00:00 04/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [20:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [20:00:00 04/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [20:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:10:00 04/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:10:00 04/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:10:00 04/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [20:10:00 04/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:10:00 04/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:10:00 04/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:10:00 04/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:10:00 04/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:10:00 04/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:10:00 04/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.6 u1: L/min st: NotStopd t0: [20:10:00 04/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [20:10:00 04/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [20:10:00 04/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:10:00 04/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:10:00 04/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:10:00 04/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:10:00 04/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:10:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:10:00 04/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:10:00 04/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:10:00 04/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:10:00 04/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:10:00 04/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:10:00 04/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:10:00 04/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 04/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [20:00:00 04/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [21:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 04/12/2010] id: BATH el: 0 cu: C-SICU cg: RN v1: DONE t0: [22:00:00 04/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 04/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 04/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 04/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 04/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: Flat in Bed st: NotStopd t0: [22:00:00 04/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 04/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 04/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: OFF t0: [22:00:00 04/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 04/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 04/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [22:00:00 04/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [22:00:00 04/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 04/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 04/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 04/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 04/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 04/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [22:00:00 04/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 04/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 04/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 04/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 04/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 04/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [22:00:00 04/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [22:00:00 04/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 04/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [22:00:00 04/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 04/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [22:00:00 04/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml t0: [22:00:00 04/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [22:00:00 04/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [00:15:00 05/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:15:00 05/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:15:00 05/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 12 t0: [00:15:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:15:00 05/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:15:00 05/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:15:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:15:00 05/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [00:15:00 05/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:15:00 05/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [00:15:00 05/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:15:00 05/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 05/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:15:00 05/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:15:00 05/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:15:00 05/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:15:00 05/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:15:00 05/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:15:00 05/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:15:00 05/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:15:00 05/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:15:00 05/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 04/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 05/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 05/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 05/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 05/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 05/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 05/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 05/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 05/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 05/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 05/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 05/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [00:00:00 05/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 05/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 05/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [00:00:00 05/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [00:00:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:00:00 05/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 05/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [00:00:00 05/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 05/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 05/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [00:00:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [00:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 107 rs: Manual st: NotStopd t0: [00:00:00 05/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [00:00:00 05/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 05/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 05/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 05/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [00:00:00 05/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 05/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 05/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [00:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [00:00:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [00:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 05/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [00:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [00:00:00 05/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [00:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 520 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [01:00:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [23:00:00 05/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 200 cv: 2010 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 200 cv: 2110 ap: none
t0: [01:30:00 05/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 72.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 72.3 rs: Final st: NotStopd
t0: [01:30:00 05/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 80 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22.8 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 210 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 80 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22.8 rs: Final st: NotStopd
t0: [01:44:00 05/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:44:00 05/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [01:44:00 05/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [01:44:00 05/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [01:44:00 05/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [01:44:00 05/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [01:30:00 05/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 877 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [01:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [01:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd
t0: [01:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [01:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [01:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [01:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:30:00 05/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.3 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.2 u1: % rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.3 rs: Final st: NotStopd t0: [02:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [02:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [02:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [02:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -16 cv: -16 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 1225 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 184 cv: 2959 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: 3161 cv: 975 ap: none t0: [23:00:00 05/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -16 cv: 849 ap: none t0: [23:00:00 05/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -16 cv: 73457.8 ap: carryForward
t0: [01:30:00 05/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [01:30:00 05/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.5 rs: Final st: NotStopd
t0: [20:00:00 04/12/2010] id: ALK PHOS BONE SPECIF el: 0 cu: C-SICU cg: RN v1: SENT t0: [00:00:00 05/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd
t0: [03:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 05/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 05/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 05/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [04:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 05/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 05/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 05/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 05/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 05/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [04:00:00 05/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 05/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 05/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 05/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [04:00:00 05/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 05/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 05/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [04:00:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 05/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 05/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 05/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [04:00:00 05/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 05/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 05/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 05/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [04:00:00 05/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [04:00:00 05/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [04:00:00 05/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [04:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 05/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [04:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [04:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [04:00:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [04:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [04:00:00 05/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [04:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [04:00:00 06/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 5 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [05:00:00 05/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 05/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:00:00 05/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [05:00:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 05/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 05/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [05:00:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 05/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 05/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 05/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.4 u1: L/min st: NotStopd t0: [05:00:00 05/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 05/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 05/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 05/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [05:00:00 05/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [05:00:00 05/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 721 u1: ml/B st: NotStopd t0: [05:00:00 05/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 05/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 05/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 05/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 05/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 04/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [00:00:00 05/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:00:00 05/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd
t0: [04:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [05:00:00 05/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [05:00:00 05/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [05:00:00 05/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [05:00:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [05:00:00 05/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [05:00:00 05/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 05/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 05/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [06:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [06:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 05/12/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [06:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 05/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 05/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [06:00:00 05/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [06:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [06:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [06:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [06:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [06:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml t0: [06:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [06:00:00 05/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [06:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 100 ap: none
t0: [06:00:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 05/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 05/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 05/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [06:00:00 05/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [08:00:00 05/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 05/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 05/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [08:00:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 05/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 05/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 05/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 05/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 05/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 05/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [08:00:00 05/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 05/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 05/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 05/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 05/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 05/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 654 u1: ml/B st: NotStopd t0: [08:00:00 05/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 05/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 05/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 05/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 05/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:30:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:30:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:30:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [07:30:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:30:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [07:30:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:30:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:30:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:30:00 05/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:30:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:30:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 05/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:30:00 05/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:30:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:30:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:30:00 05/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:30:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:30:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:30:00 05/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:30:00 05/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:30:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:30:00 05/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:30:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:30:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:30:00 05/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:30:00 05/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:30:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:30:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:30:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 05/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:30:00 05/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:30:00 05/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:30:00 05/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:30:00 05/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:30:00 05/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [08:30:00 05/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:30:00 05/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:30:00 05/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:30:00 05/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:30:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [08:30:00 05/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:30:00 05/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:30:00 05/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:30:00 05/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [08:30:00 05/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:30:00 05/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:30:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:30:00 05/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:30:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:30:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:30:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:30:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:30:00 05/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:30:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:30:00 05/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:30:00 05/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 05/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:30:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:30:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:30:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 05/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:30:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:30:00 05/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:30:00 05/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:30:00 05/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:30:00 05/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:30:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:30:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [08:30:00 05/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:30:00 05/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [08:30:00 05/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:30:00 05/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:30:00 05/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:30:00 05/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:30:00 05/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:30:00 05/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [08:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [07:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:30:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:30:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 06/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm tf: [10:00:00 07/12/2010] pt: Unit Dose rt: PO fr: QD fs: 8 dn: 1 m1: Prednisone v1: 10 u1: mg
id: Albumin 25% el: 3 cu: C-SICU cg: RN io: Albumin 25% Tube Feeding du: ml rt: Intravenous Push
t0: [09:00:00 05/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 05/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: off t0: [09:00:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 05/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 05/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 05/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 05/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 05/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 05/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 05/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 05/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 05/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [10:30:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:30:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:30:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:30:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:30:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:30:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:30:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:30:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [10:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [10:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [10:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [10:30:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [10:30:00 05/12/2010] tf: [21:17:00 07/12/2010] dt: 3527 id: Albumin 25% Tube Feeding el: 3 cu: C-SICU cg: RN ai: -1 vo: 50 vu: ml
t0: [10:30:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 50 ap: none
t0: [11:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [11:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [11:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [11:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 05/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [09:00:00 05/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 05/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [09:00:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [09:00:00 05/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:30:00 05/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [11:30:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Chair st: NotStopd t0: [11:30:00 05/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:30:00 05/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [11:30:00 05/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [11:30:00 05/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [11:30:00 05/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:30:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:30:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [12:00:00 05/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 05/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 05/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 05/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 05/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 05/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [12:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 05/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 05/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 05/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 05/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [12:00:00 05/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 05/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 05/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 05/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 05/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 05/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [12:00:00 05/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [12:00:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 05/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [12:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [12:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 05/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [12:00:00 05/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [12:00:00 05/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 05/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 05/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:30:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:30:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:47:00 05/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:47:00 05/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd
t0: [13:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 05/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [13:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [13:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [13:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 05/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [13:00:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:30:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:30:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [12:00:00 05/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [12:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml st: Stopped t0: [13:00:00 05/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vu: ml t0: [13:30:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml
t0: [13:30:00 05/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [12:45:00 05/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 79 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 10 u1: mg/dl rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 79 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 10 u1: mg/dl rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [12:45:00 05/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [14:00:00 05/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [15:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [15:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [15:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [15:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:00:00 05/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 05/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 23 t0: [16:00:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 05/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 05/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [16:00:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 05/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 05/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 05/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [16:00:00 05/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 05/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 05/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 05/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 05/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 05/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 721 u1: ml/B st: NotStopd t0: [16:00:00 05/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 05/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 05/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 05/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 05/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 05/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [15:00:00 06/12/2010] pt: IV Large Volume rt: IV fr: ONCE fs: 16 dn: 1 m1: Multivitamin 12 v1: 10 u1: ml m2: Amino Acids 4.25% W/ Dextrose 5% v2: 1000 u2: ml
t0: [08:30:00 05/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:30:00 05/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 05/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 05/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 05/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 05/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 05/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 05/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 05/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 05/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 05/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 05/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 05/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 05/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [16:00:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 05/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 05/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [16:00:00 05/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 05/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 05/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 05/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 05/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 05/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 05/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 05/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 05/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 05/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 05/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 05/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 05/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 05/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 05/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [16:00:00 05/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [16:00:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 05/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [16:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 05/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 05/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 05/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 05/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 05/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 05/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 05/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [16:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [16:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [16:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
io: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 42 ru: ml/hr
id: PPN el: 1 cu: C-SICU cg: RN io: PPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [17:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 05/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [17:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [17:00:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 50 vu: ml t0: [17:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 05/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 0 vu: ml
t0: [17:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [18:00:00 05/12/2010] tf: [12:00:00 06/12/2010] dt: 1080 id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 21 vu: ml t0: [18:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 05/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml
t0: [18:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:15:00 05/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:15:00 05/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [20:45:00 05/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:45:00 05/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:45:00 05/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [20:45:00 05/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:45:00 05/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:45:00 05/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:45:00 05/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:45:00 05/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [20:45:00 05/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [20:45:00 05/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [20:45:00 05/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:45:00 05/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:45:00 05/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:45:00 05/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:45:00 05/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:45:00 05/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 407 u1: ml/B st: NotStopd t0: [20:45:00 05/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:45:00 05/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:45:00 05/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:45:00 05/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:45:00 05/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:45:00 05/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [22:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 05/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [20:00:00 05/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 84 vu: ml t0: [20:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [22:00:00 05/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 84 vu: ml t0: [22:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [22:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 05/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 05/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [20:00:00 05/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 05/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 05/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 05/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [22:00:00 05/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 05/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [22:00:00 05/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [22:00:00 05/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 05/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 05/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 05/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 05/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [22:00:00 05/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [22:00:00 05/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 05/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 05/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd
t0: [22:00:00 05/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 05/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN st: NotStopd
t0: [22:00:00 05/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 30 vu: ml t0: [22:00:00 05/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml
t0: [00:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [23:00:00 05/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [23:00:00 05/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 42 vu: ml t0: [23:00:00 05/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [00:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [00:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 42 vu: ml t0: [00:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [00:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 84 cv: 189 ap: none
t0: [23:56:00 05/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [23:56:00 05/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [23:56:00 05/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [00:25:00 06/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:25:00 06/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:25:00 06/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [00:25:00 06/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:25:00 06/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:25:00 06/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:25:00 06/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:25:00 06/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:25:00 06/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:25:00 06/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [00:25:00 06/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:25:00 06/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:25:00 06/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:25:00 06/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:25:00 06/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:25:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:25:00 06/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 599 u1: ml/B st: NotStopd t0: [00:25:00 06/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:25:00 06/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:25:00 06/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:25:00 06/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:25:00 06/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:25:00 06/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [01:00:00 06/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 20 vu: ml t0: [01:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 42 vu: ml t0: [01:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 06/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 15 vu: ml
t0: [23:00:00 06/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 377 cv: 377 ap: none t0: [23:00:00 06/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 128.469 cv: 128.469 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 180.469 cv: 1391.09 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 546 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 505.469 cv: 2687.09 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 35 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 27 cv: 1342 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 128.469 cv: 995.094 ap: none t0: [23:00:00 06/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 377 cv: 1692 ap: none t0: [23:00:00 06/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 128.469 cv: 74519.9 ap: carryForward
t0: [01:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 05/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 05/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 05/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 05/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 05/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 05/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 06/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [00:00:00 06/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 06/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [01:00:00 06/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN st: NotStopd t0: [01:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [01:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [01:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [01:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [01:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [01:00:00 06/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 06/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: on t0: [01:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [01:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 06/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [01:00:00 06/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [01:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [01:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [01:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 06/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 06/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [01:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 06/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd
t0: [12:45:00 05/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.3 u1: ng rs: Final st: NotStopd
t0: [02:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 06/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.5 u1: % rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd
t0: [02:30:00 06/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 78.6 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 78.6 rs: Final st: NotStopd
t0: [02:30:00 06/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 183 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 180 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [03:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 06/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [03:00:00 06/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [03:00:00 06/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [03:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:15:00 06/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:15:00 06/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:15:00 06/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [03:15:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:15:00 06/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:15:00 06/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:15:00 06/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:15:00 06/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:15:00 06/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:15:00 06/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:15:00 06/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:15:00 06/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:15:00 06/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd
t0: [03:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 06/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1639 rs: Final st: NotStopd t0: [02:30:00 06/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd
t0: [20:00:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [01:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [03:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [03:00:00 06/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [03:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [03:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [03:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [03:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [03:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [03:00:00 06/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [03:00:00 06/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [03:00:00 06/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [03:00:00 06/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [03:00:00 06/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 06/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 06/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool st: NotStopd t0: [03:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [03:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [03:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 06/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool st: NotStopd t0: [03:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 06/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 06/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Tenacious st: NotStopd t0: [03:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Expectorated v2: Copious st: NotStopd t0: [03:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [03:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 06/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 06/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN st: NotStopd t0: [04:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [04:00:00 06/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 06/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [04:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 06/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 06/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [02:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 42 vu: ml t0: [02:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 06/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [04:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [04:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [04:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 84 vu: ml t0: [04:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [04:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 06/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.6 u1: ng rs: Final st: NotStopd
t0: [20:00:00 05/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 05/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 05/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 05/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 05/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 05/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 05/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 05/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 05/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 06/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [05:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [05:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [05:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [05:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [05:00:00 06/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 06/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [05:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [05:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 42 vu: ml t0: [05:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml
t0: [20:00:00 05/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 05/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 06/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 06/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:00:00 06/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [05:00:00 06/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 06/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 06/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [05:00:00 06/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 06/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 06/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 8.26 u1: L/min st: NotStopd t0: [05:00:00 06/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 06/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 06/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 06/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 06/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 452 u1: ml/B st: NotStopd t0: [05:00:00 06/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 06/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 06/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 06/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 06/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 06/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [06:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [06:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [06:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 42 vu: ml t0: [06:00:00 06/12/2010] tf: [21:17:00 07/12/2010] dt: 2357 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml
t0: [06:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 06/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 06/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [08:00:00 06/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 06/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 06/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [08:00:00 06/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 06/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 06/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 06/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [08:00:00 06/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 06/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 06/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 06/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 06/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 06/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 736 u1: ml/B st: NotStopd t0: [08:00:00 06/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 06/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 06/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 06/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 06/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 06/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 05/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [23:00:00 05/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [23:00:00 05/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [23:00:00 05/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 05/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [23:00:00 05/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [23:00:00 05/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [23:00:00 05/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 05/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 05/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [23:00:00 05/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [23:00:00 05/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 05/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 05/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 05/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [23:00:00 05/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 05/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 06/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 06/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 06/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 06/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 06/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 06/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 06/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 06/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 06/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: intact t0: [08:00:00 06/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 06/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 06/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 06/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 06/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 06/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 06/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 06/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 06/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 06/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 06/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 06/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 06/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 06/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 06/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 06/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 06/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 06/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 06/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 06/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 06/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 06/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 06/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 06/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [08:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 84 vu: ml t0: [08:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [08:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 06/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RN v1: 639 u1: ml/B st: NotStopd t0: [09:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 06/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Fluoroscopy st: NotStopd t0: [10:15:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:15:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:15:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:15:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:15:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:15:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:15:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:15:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:15:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:15:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:15:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:15:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [10:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20 vu: ml t0: [10:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 84 vu: ml t0: [10:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [10:15:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:15:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 06/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 06/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [11:00:00 06/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [10:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 06/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 06/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Soft Solid st: NotStopd t0: [12:00:00 06/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 06/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 06/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 06/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 06/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 06/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 06/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 06/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: INTACT t0: [12:00:00 06/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 06/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [12:00:00 06/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 06/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 06/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 06/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 06/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 06/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 06/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 06/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 06/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 06/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 06/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 06/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [12:00:00 06/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [12:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 06/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 06/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 06/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 06/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 06/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 06/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [12:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 10 vu: ml t0: [12:00:00 06/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 183 vo: 84 vu: ml st: Stopped t0: [12:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 06/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vu: ml nb: 1
t0: [11:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.96296 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [12:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:50:00 06/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [12:50:00 06/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [12:50:00 06/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [12:50:00 06/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [12:50:00 06/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [12:00:00 06/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [12:00:00 06/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.8 u1: Deg. F st: NotStopd
t0: [13:11:00 06/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:11:00 06/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [13:11:00 06/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [13:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [13:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 06/12/2010] tf: [21:17:00 07/12/2010] dt: 1937 id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:21:00 06/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [12:21:00 06/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd
t0: [14:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 90 u1: % st: NotStopd t0: [14:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [14:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.125 vu: ml t0: [14:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 06/12/2010] tf: [10:00:00 07/12/2010] dt: 1200 id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [14:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:17:00 06/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [14:24:00 06/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [14:24:00 06/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [14:24:00 06/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [14:24:00 06/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 06/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 06/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd
t0: [14:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [15:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [15:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [23:00:00 06/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml
t0: [15:08:00 06/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 182 u1: mmHg rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [15:08:00 06/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [15:00:00 06/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml
t0: [15:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 06/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 06/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Blanket v2: On st: NotStopd t0: [15:00:00 06/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 06/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 06/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 06/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Soft Solid st: NotStopd t0: [16:00:00 06/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 06/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 06/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [16:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 06/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 06/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: OFF t0: [16:00:00 06/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 06/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 06/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 06/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 06/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 06/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 06/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 06/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 06/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 06/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 06/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 06/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 06/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 06/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 06/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 06/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 06/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 06/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 06/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 06/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 06/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Blanket v2: On st: NotStopd t0: [16:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 06/12/2010] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [16:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [16:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 06/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [16:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 06/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [17:00:00 06/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [17:00:00 06/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [17:00:00 06/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 06/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 06/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [17:00:00 06/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 06/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 06/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v2: Combivent st: NotStopd t0: [17:00:00 06/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [17:00:00 06/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [17:00:00 06/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 06/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 06/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:00:00 06/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [17:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 06/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 622 u1: ml/B st: NotStopd t0: [17:00:00 06/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 06/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [17:00:00 06/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 06/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [17:00:00 06/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 06/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 06/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 06/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [17:00:00 06/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [17:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:46:00 06/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [17:46:00 06/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [18:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 20 vu: ml t0: [18:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [18:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 06/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [17:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [18:00:00 07/12/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 19 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [20:00:00 06/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 06/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 06/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [20:00:00 06/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 06/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 06/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 06/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 06/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 06/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v2: Combivent st: NotStopd t0: [20:00:00 06/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 06/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [20:00:00 06/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 06/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 06/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 06/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [20:00:00 06/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 541 u1: ml/B st: NotStopd t0: [20:00:00 06/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 06/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [20:00:00 06/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 06/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 06/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 06/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [19:30:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:30:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:30:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:30:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:30:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:30:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:30:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:30:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:30:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [21:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [21:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [21:00:00 06/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [21:00:00 06/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Soft Solid st: NotStopd t0: [21:00:00 06/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [21:00:00 06/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 06/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [21:00:00 06/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 06/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [21:00:00 06/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [21:00:00 06/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [21:00:00 06/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 06/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [21:00:00 06/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [21:00:00 06/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 06/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 06/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: OFF t0: [21:00:00 06/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 06/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [21:00:00 06/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [21:00:00 06/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [21:00:00 06/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [21:00:00 06/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 06/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 06/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [21:00:00 06/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 06/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [21:00:00 06/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 06/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 06/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 06/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 06/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [21:00:00 06/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [21:00:00 06/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 06/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 06/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 06/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [21:00:00 06/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [21:00:00 06/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 06/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 06/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 06/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 06/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 06/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [21:00:00 06/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 06/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 06/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:30:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [22:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 50 vu: ml t0: [23:00:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 105.469 vu: ml t0: [23:00:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 25 vu: ml t0: [23:00:00 06/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 325 vu: ml
t0: [22:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 325 cv: 715 ap: none
t0: [23:00:00 06/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [23:00:00 06/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd
t0: [23:30:00 06/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:30:00 06/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:30:00 06/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 06/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 06/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 06/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 06/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [23:30:00 06/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 06/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:30:00 06/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [23:30:00 06/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:30:00 06/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:30:00 06/12/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [23:30:00 06/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [23:30:00 06/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 06/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [23:30:00 06/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 7.59375 vu: ml t0: [23:30:00 06/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 500 vu: ml t0: [23:30:00 06/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 32.5 vu: ml
t0: [23:30:00 06/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:30:00 06/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:37:00 06/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [23:37:00 06/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [23:37:00 06/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [23:37:00 06/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [23:37:00 06/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [23:37:00 06/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
tf: [11:00:00 15/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml
t0: [00:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 7.59375 vu: ml t0: [00:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [00:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 32.5 vu: ml
t0: [00:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:15:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:15:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:15:00 07/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 19 t0: [00:15:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:15:00 07/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:15:00 07/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:15:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:15:00 07/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:15:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:15:00 07/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:15:00 07/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [00:15:00 07/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:15:00 07/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 07/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:15:00 07/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:15:00 07/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:15:00 07/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:15:00 07/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [00:15:00 07/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [00:15:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:15:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [00:15:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:15:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:15:00 07/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:15:00 07/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 07/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 91 rs: Manual st: NotStopd
t0: [23:00:00 06/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 350 vu: ml
t0: [23:00:00 06/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 350 cv: 350 ap: none
t0: [01:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 15.1875 vu: ml t0: [01:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [01:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [02:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 15.1875 vu: ml t0: [02:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 500 vu: ml t0: [02:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [02:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 07/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2360 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3747.5 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1007.5 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 645 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 2752.5 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 995 ap: none t0: [23:00:00 07/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 77272.4 ap: carryForward
t0: [02:00:00 07/12/2010] id: SPONT TV'S el: 0 cu: C-SICU cg: RN v1: 647
t0: [02:30:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:30:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:30:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:30:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:30:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:30:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:30:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [02:30:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:30:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:30:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [02:30:00 07/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:30:00 07/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:30:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:30:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:47:00 07/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [02:47:00 07/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [02:47:00 07/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:47:00 07/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:47:00 07/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [02:47:00 07/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [02:47:00 07/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd
t0: [03:00:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [02:30:00 07/12/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [03:30:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:30:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:30:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:30:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:30:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:30:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:30:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:30:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:30:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:30:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:30:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:30:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 15 vu: ml t0: [03:30:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 21.0938 vu: ml t0: [03:30:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [03:30:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 97.5 vu: ml
t0: [03:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:30:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [03:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 07/12/2010] id: SPONT TV'S el: 0 cu: C-SICU cg: RN v1: 724 t0: [03:30:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd
t0: [03:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:30:00 07/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd
t0: [02:30:00 07/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29.7 u1: % rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.08 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd
t0: [02:30:00 07/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [02:30:00 07/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24.1 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1692 rs: Final st: NotStopd t0: [02:30:00 07/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24.1 rs: Final st: NotStopd
t0: [04:15:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:15:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:15:00 07/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [04:15:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:15:00 07/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:15:00 07/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [04:15:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:15:00 07/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:15:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:15:00 07/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:15:00 07/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.3 u1: L/min st: NotStopd t0: [04:15:00 07/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:15:00 07/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:15:00 07/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:15:00 07/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [04:15:00 07/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:15:00 07/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:15:00 07/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [04:15:00 07/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:15:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:15:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [04:15:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:15:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:15:00 07/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [04:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 07/12/2010] id: SPONT TV'S el: 0 cu: C-SICU cg: RN v1: 684 t0: [05:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [05:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 15 vu: ml t0: [05:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 22.7812 vu: ml t0: [05:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [05:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 97.5 vu: ml
t0: [04:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 07/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [06:00:00 07/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [06:00:00 07/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [06:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 15.1875 vu: ml t0: [06:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [06:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 07/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 07/12/2010] id: SPONT TV'S el: 0 cu: C-SICU cg: RN v1: 713 t0: [06:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:28:00 07/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [06:28:00 07/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [06:28:00 07/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [06:28:00 07/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 07/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 07/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd
t0: [08:00:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 07/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 07/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 07/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 07/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [08:00:00 07/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 07/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 07/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 07/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 07/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [08:00:00 07/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 07/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 07/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 735 u1: ml/B st: NotStopd t0: [08:00:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [08:00:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 07/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 07/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 07/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [01:00:00 07/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [01:00:00 07/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 07/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 07/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [01:00:00 07/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [01:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [01:00:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [01:00:00 07/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [01:00:00 07/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [01:00:00 07/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 07/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 07/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [01:00:00 07/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 07/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 07/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 07/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [01:00:00 07/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 07/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 07/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [01:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [01:00:00 07/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 07/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [05:00:00 07/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 07/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 07/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 07/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Soft Solid st: NotStopd t0: [05:00:00 07/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 07/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 07/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [05:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [05:00:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [05:00:00 07/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 07/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [05:00:00 07/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [05:00:00 07/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [05:00:00 07/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 07/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 07/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 07/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 07/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 07/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [05:00:00 07/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 07/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 07/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [05:00:00 07/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 07/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 07/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [05:00:00 07/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [05:00:00 07/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 07/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 07/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 07/12/2010] id: PPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 183 vo: 0 st: D/C'd
t0: [08:00:00 07/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 07/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 07/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 07/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 07/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 07/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 07/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 07/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 07/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 07/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 07/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 07/12/2010] id: ACE WRAP B LEGS el: 0 cu: C-SICU cg: RN v1: OFF t0: [08:00:00 07/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 07/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 07/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 07/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 07/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 07/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 07/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 07/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 07/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 07/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 07/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 07/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 07/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 07/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 07/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 07/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 07/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 07/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 07/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 07/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 07/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [08:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 07/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 07/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 07/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 07/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 07/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 07/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [06:00:00 07/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [08:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 30.375 vu: ml t0: [08:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [08:00:00 07/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 50 vu: ml t0: [08:00:00 07/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [08:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 07/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 537 rs: Final st: NotStopd
t0: [08:00:00 07/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml
tf: [03:00:00 08/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [02:30:00 07/12/2010] id: TRF 200-400 el: 0 cu: C-SICU cg: RN v1: 52 t0: [02:30:00 07/12/2010] id: calTIBC 264-432 el: 0 cu: C-SICU cg: RN v1: 68
tf: [11:00:00 17/12/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Digoxin v1: 0.25 u1: mg
t0: [07:00:00 07/12/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.55244 u1: m2 st: NotStopd t0: [07:00:00 07/12/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.80434 u1: m2 st: NotStopd t0: [07:00:00 07/12/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [08:00:00 07/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 07/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 07/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [08:00:00 07/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [09:00:00 07/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [09:00:00 07/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [10:00:00 07/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 07/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 07/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 07/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 07/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [10:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [10:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 07/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 07/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 07/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 07/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 07/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [10:00:00 07/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [10:00:00 07/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 07/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [10:00:00 07/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [10:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd
t0: [10:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 25.3125 vu: ml t0: [10:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml st: Stopped
t0: [09:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 07/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 07/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [08:00:00 07/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT t0: [08:00:00 07/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 07/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 07/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [12:00:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 07/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 07/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 07/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.6 u1: L/min st: NotStopd t0: [12:00:00 07/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 07/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 07/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 07/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 07/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 07/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [12:00:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [12:00:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 07/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 07/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 07/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 07/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 07/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 07/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 07/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 07/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 07/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 07/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 07/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 07/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 07/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 07/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 07/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 07/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [12:00:00 07/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 07/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 07/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [12:00:00 07/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [12:00:00 07/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 07/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 07/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 07/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 07/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [12:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 110 rs: Manual st: NotStopd t0: [12:00:00 07/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 18.5625 vu: ml t0: [12:00:00 07/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 100 vu: ml t0: [12:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 07/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [11:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 07/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [13:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd
t0: [13:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 07/12/2010] id: ALK PHOS BONE SPECIF el: 0 cu: C-SICU cg: RN v1: PENDING
t0: [12:30:00 07/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 85.7 rs: Final st: NotStopd t0: [12:30:00 07/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 85.7 rs: Final st: NotStopd
t0: [08:00:00 07/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 07/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: RN v1: 85.7 rs: Manual st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 07/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 07/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 07/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: RN v1: 85.7 rs: Manual st: NotStopd t0: [13:00:00 07/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [13:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [13:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [13:00:00 07/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [13:00:00 07/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [13:00:00 07/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [13:00:00 07/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [13:00:00 07/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [13:00:00 07/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [13:00:00 07/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [13:30:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [13:30:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 07/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 07/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [14:00:00 07/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 07/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [14:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 07/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 07/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 07/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [14:00:00 07/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [14:00:00 07/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 07/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 07/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [14:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 0 vu: ml nb: 1 t0: [14:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 16.875 vu: ml t0: [14:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml
t0: [14:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [15:00:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [15:00:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 07/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:00:00 07/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [15:00:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [15:00:00 07/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [15:00:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [15:00:00 07/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 07/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [15:00:00 07/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 07/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 07/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:00:00 07/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 07/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 07/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [15:00:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [15:00:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [15:00:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [15:00:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [15:00:00 07/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 07/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 07/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 07/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 07/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 07/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 07/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 07/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 07/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 07/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 07/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [16:00:00 07/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 07/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [16:00:00 07/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [16:00:00 07/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 07/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 07/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 07/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [16:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [16:00:00 07/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [16:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [16:00:00 07/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [16:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 07/12/2010] tf: [18:00:00 07/12/2010] dt: 120 id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 162.5 vu: ml t0: [16:00:00 07/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 100 vu: ml t0: [16:00:00 07/12/2010] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml
t0: [16:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [08:00:00 07/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 07/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 07/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 07/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 07/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 07/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 07/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [18:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 07/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [18:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 07/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [18:00:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 07/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 07/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 07/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 07/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [18:00:00 07/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [18:00:00 07/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 07/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Perineum st: NotStopd t0: [18:00:00 07/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 07/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 07/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 07/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 07/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [18:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 07/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 07/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 07/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 07/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [18:00:00 07/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [18:00:00 07/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #6 st: NotStopd t0: [18:00:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [18:00:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [18:00:00 07/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 07/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Therapeutic Bed v2: On st: NotStopd t0: [18:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 07/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 108 rs: Manual st: NotStopd t0: [18:00:00 07/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [18:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [18:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 07/12/2010] id: GT Flush PO/Gastric el: 2 cu: C-SICU cg: RN ai: 338 vo: 60 vu: ml
t0: [18:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 07/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml st: Stopped
t0: [20:00:00 07/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 07/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 07/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 07/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 07/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 07/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 07/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 07/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 07/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: Dual Demand st: NotStopd t0: [20:00:00 07/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 07/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 07/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [20:00:00 07/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 07/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 110 u1: kg st: NotStopd t0: [20:00:00 07/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 07/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/12/2010] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 105 vo: 210 vu: ml t0: [20:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [20:00:00 07/12/2010] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 155 vo: 60 vu: ml t0: [20:00:00 07/12/2010] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 07/12/2010] id: Gastric Nasogastric el: 4 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [20:00:00 07/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 07/12/2010] id: Dopamine el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 350 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 380 ap: none
t0: [20:00:00 07/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 07/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 07/12/2010] id: High Minute Volume el: 0 cu: C-SICU cg: RRT v1: 21 t0: [20:00:00 07/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 07/12/2010] id: High Pressure Limit el: 0 cu: C-SICU cg: RRT v1: 30 t0: [20:00:00 07/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [20:00:00 07/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 07/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #6 st: NotStopd t0: [20:00:00 07/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 07/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:20:00 07/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:20:00 07/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:20:00 07/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [20:20:00 07/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:20:00 07/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [20:20:00 07/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:20:00 07/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:20:00 07/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [20:20:00 07/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:20:00 07/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:20:00 07/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [20:20:00 07/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:20:00 07/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [14:26:00 15/12/2010] dt: 11108 cu: CCU de: C-SICU
t0: [21:00:00 07/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [21:00:00 07/12/2010] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:00:00 07/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 07/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 07/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 07/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [22:00:00 07/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RN v1: 10 v2: 17 st: NotStopd t0: [22:00:00 07/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/12/2010] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [22:00:00 07/12/2010] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [22:00:00 07/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 07/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [22:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 07/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 07/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [22:00:00 07/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 07/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 07/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 07/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 07/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 07/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 07/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 07/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 07/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 07/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [22:00:00 07/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 07/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [22:00:00 07/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 07/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 07/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 07/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [22:00:00 07/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [22:00:00 07/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [22:00:00 07/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [22:00:00 07/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 07/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/12/2010] id: Airway Type el: 0 cu: CCU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 07/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 07/12/2010] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [22:00:00 07/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 07/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 07/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [22:00:00 07/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 07/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 07/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Dual Demand st: NotStopd t0: [22:00:00 07/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 07/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 07/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 07/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [22:00:00 07/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 07/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 07/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [22:00:00 07/12/2010] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [22:00:00 07/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 07/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 07/12/2010] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [22:00:00 07/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [22:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 07/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 07/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 07/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [22:00:00 07/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [22:00:00 07/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [22:00:00 07/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [22:00:00 07/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 07/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RN v1: Yes v2: No st: NotStopd t0: [22:00:00 07/12/2010] id: Trach Size el: 0 cu: CCU cg: RN v1: #6 st: NotStopd t0: [22:00:00 07/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RN v1: Portex st: NotStopd t0: [22:00:00 07/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [22:00:00 07/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 07/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 07/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd t0: [22:00:00 07/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 07/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 07/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 07/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [22:00:00 07/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 07/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 07/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 07/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [22:00:00 07/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 07/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [22:00:00 07/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [22:00:00 07/12/2010] tf: [06:00:00 08/12/2010] dt: 480 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 18 vu: ml t0: [22:00:00 07/12/2010] tf: [14:26:00 15/12/2010] dt: 11066 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml
t0: [22:00:00 07/12/2010] tf: [16:00:00 12/12/2010] dt: 6840 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 07/12/2010] tf: [14:26:00 15/12/2010] dt: 11066 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 07/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [23:00:00 07/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 07/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 07/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 07/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [23:00:00 07/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 07/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 07/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 07/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [23:00:00 07/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 07/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 07/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [23:00:00 07/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.1 vu: ml
t0: [23:00:00 07/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 07/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 24 cv: 24 ap: none t0: [23:00:00 07/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -4.9 cv: -4.9 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 19.1 cv: 2417.35 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 19.1 cv: 3804.85 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 24 cv: 794 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -4.9 cv: 2660.85 ap: none t0: [23:00:00 07/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 24 cv: 1144 ap: none t0: [23:00:00 07/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -4.9 cv: 77180.7 ap: carryForward
t0: [00:00:00 08/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 08/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [00:00:00 08/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 08/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 08/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 08/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 08/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [00:00:00 08/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 08/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.99 u1: L/min st: NotStopd t0: [00:00:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 08/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 08/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 08/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 08/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 08/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 08/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 08/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 536 u1: ml/B st: NotStopd t0: [00:00:00 08/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 08/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [00:00:00 08/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 08/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 08/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [23:05:00 07/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [23:05:00 07/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [23:05:00 07/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [23:05:00 07/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd
t0: [00:00:00 08/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 84 rs: Manual st: NotStopd
t0: [00:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [00:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [00:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml
t0: [00:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [01:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [01:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml
t0: [23:05:00 07/12/2010] id: PTT Coags el: 0 cu: CCU cg: RN v1: 82.9 rs: Final st: NotStopd t0: [23:05:00 07/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: RN v1: 82.9 rs: Final st: NotStopd t0: [00:00:00 08/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 08/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [02:00:00 08/12/2010] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [02:00:00 08/12/2010] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [02:00:00 08/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 08/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [02:00:00 08/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [02:00:00 08/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 08/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [02:00:00 08/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 08/12/2010] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [02:00:00 08/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 08/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 08/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 08/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 08/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 08/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [02:00:00 08/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [02:00:00 08/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [02:00:00 08/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Dampened st: NotStopd t0: [02:00:00 08/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 08/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [02:00:00 08/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [02:00:00 08/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [02:00:00 08/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [02:00:00 08/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 08/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 08/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 08/12/2010] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [02:00:00 08/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [02:00:00 08/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [02:00:00 08/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 08/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 08/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Dual Demand st: NotStopd t0: [02:00:00 08/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 08/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 08/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 08/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 08/12/2010] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [02:00:00 08/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 08/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [02:00:00 08/12/2010] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [02:00:00 08/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [02:00:00 08/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 08/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [02:00:00 08/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [02:00:00 08/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 08/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 08/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 08/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 08/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 08/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [02:00:00 08/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 08/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 08/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 08/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [02:00:00 08/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 08/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [02:00:00 08/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [02:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [02:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [02:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.2778 u1: Deg. C st: NotStopd t0: [02:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.5 u1: Deg. F st: NotStopd t0: [02:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [02:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [02:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 07/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:36:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [03:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [03:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [03:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 08/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 82.25 cv: 82.25 ap: none t0: [23:00:00 08/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 32.25 cv: 1353.13 ap: none t0: [23:00:00 08/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 182.25 cv: 2193.13 ap: none t0: [23:00:00 08/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 100 cv: 1336 ap: none t0: [23:00:00 08/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 82.25 cv: 857.131 ap: none t0: [23:00:00 08/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 100 cv: 1336 ap: none t0: [23:00:00 08/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 82.25 cv: 78037.9 ap: carryForward
t0: [03:20:00 08/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [03:20:00 08/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [03:20:00 08/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [03:20:00 08/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [03:20:00 08/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 129 u1: mmHg rs: Final st: NotStopd t0: [03:20:00 08/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd
t0: [04:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [04:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 08/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.2 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 15.2 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.9 u1: % rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 120 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.12 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.2 rs: Final st: NotStopd
tf: [03:00:00 09/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [02:00:00 11/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [03:00:00 08/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 85 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 5.5 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 136 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 544 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 85 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 159 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5.5 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd
t0: [03:00:00 08/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 83.2 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 83.2 rs: Final st: NotStopd
t0: [05:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [05:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [05:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [04:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml t0: [05:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [05:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [05:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 08/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 08/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [05:00:00 08/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 08/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 08/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 08/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 08/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [05:00:00 08/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 08/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [05:00:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 08/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 08/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 08/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [05:00:00 08/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 08/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 542 u1: ml/B st: NotStopd t0: [05:00:00 08/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 08/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [05:00:00 08/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 08/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 08/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [02:00:00 08/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [02:00:00 08/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 08/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 08/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [02:00:00 08/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 08/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [06:00:00 08/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [06:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 08/12/2010] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [06:00:00 08/12/2010] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [06:00:00 08/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 08/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [06:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 08/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [06:00:00 08/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 08/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 08/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 08/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 08/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 08/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 08/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 08/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [06:00:00 08/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:00:00 08/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [06:00:00 08/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 08/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 08/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [06:00:00 08/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [06:00:00 08/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [06:00:00 08/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [06:00:00 08/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 08/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 08/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 08/12/2010] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [06:00:00 08/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 08/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [06:00:00 08/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 08/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 08/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [06:00:00 08/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Dual Demand st: NotStopd t0: [06:00:00 08/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 08/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [06:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 08/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 08/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [06:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [06:00:00 08/12/2010] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [06:00:00 08/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 08/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 08/12/2010] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [06:00:00 08/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [06:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 08/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 08/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 08/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [06:00:00 08/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 08/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 08/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 08/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 08/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [06:00:00 08/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 08/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 08/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 08/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [06:00:00 08/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 08/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [06:00:00 08/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [06:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 0 vu: ml t0: [06:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.1 vu: ml
t0: [06:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 08/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 95 rs: Manual st: NotStopd
t0: [03:00:00 08/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 22.8 rs: Final st: NotStopd t0: [03:00:00 08/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 22.8 rs: Final st: NotStopd
t0: [03:00:00 08/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 1501 rs: Final st: NotStopd
t0: [06:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.6667 u1: Deg. C st: NotStopd t0: [06:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94.4 u1: Deg. F st: NotStopd t0: [07:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [07:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [07:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [07:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 08/12/2010] tf: [21:00:00 14/12/2010] dt: 9480 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [07:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml
t0: [07:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:18:00 08/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:18:00 08/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [08:18:00 08/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:18:00 08/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:18:00 08/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:18:00 08/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [08:18:00 08/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:18:00 08/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:18:00 08/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [08:18:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:18:00 08/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:18:00 08/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:18:00 08/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:18:00 08/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:18:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:18:00 08/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [08:18:00 08/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:18:00 08/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:18:00 08/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:18:00 08/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [08:18:00 08/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [08:18:00 08/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [08:18:00 08/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:18:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [07:45:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [07:45:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:45:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [07:45:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:45:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [07:45:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:45:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [07:45:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:45:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:45:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 08/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [08:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 08/12/2010] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [08:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [08:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:15:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:15:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:15:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:15:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:15:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:15:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [08:15:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:15:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:15:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [08:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.9688 vu: ml
t0: [07:45:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:45:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:15:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 08/12/2010] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [08:00:00 08/12/2010] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [08:00:00 08/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 08/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 08/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 08/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 08/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 08/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 08/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 08/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [08:00:00 08/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 08/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [08:00:00 08/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 08/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 08/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 08/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 08/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 08/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 08/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 08/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 08/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 08/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 08/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 08/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Dual Demand st: NotStopd t0: [08:00:00 08/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 08/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 08/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 08/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 08/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 08/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/12/2010] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [08:00:00 08/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 08/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 08/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [08:00:00 08/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 08/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 08/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 08/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 08/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 08/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 08/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [08:00:00 08/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 08/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 08/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 08/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [08:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 08/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 08/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 08/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 08/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 08/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 08/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 08/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 08/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 08/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 11.8125 vu: ml
t0: [09:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 09/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [10:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [11:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml t0: [11:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml
t0: [10:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN
t0: [12:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [12:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 08/12/2010] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 08/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 08/12/2010] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 08/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 08/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Hemodyn Issue st: NotStopd
t0: [12:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml
t0: [12:26:00 08/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:26:00 08/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [12:26:00 08/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:26:00 08/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:26:00 08/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:26:00 08/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [12:26:00 08/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:26:00 08/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:26:00 08/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.75 u1: L/min st: NotStopd t0: [12:26:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:26:00 08/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [12:26:00 08/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:26:00 08/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:26:00 08/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:26:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:26:00 08/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [12:26:00 08/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:26:00 08/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:26:00 08/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: No v2: No st: NotStopd t0: [12:26:00 08/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [12:26:00 08/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [12:26:00 08/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [12:26:00 08/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:26:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [12:45:00 08/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.31 rs: Final st: NotStopd t0: [12:45:00 08/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [12:45:00 08/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [12:45:00 08/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [12:45:00 08/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [12:45:00 08/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.31 rs: Final st: NotStopd
t0: [12:45:00 08/12/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.0438 u1: ml/dl st: NotStopd t0: [12:45:00 08/12/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [09:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.7222 u1: Deg. C st: NotStopd t0: [09:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94.5 u1: Deg. F st: NotStopd t0: [13:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [13:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [13:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [14:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [14:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [14:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 08/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 80 rs: Manual st: NotStopd
tf: [14:00:00 09/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Cosyntropin v1: 250 u1: mcg
t0: [15:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [15:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [15:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [14:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [15:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml
t0: [09:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 08/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 08/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 08/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 08/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 08/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 08/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [11:00:00 08/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 08/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 08/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 08/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 08/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 08/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 08/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 08/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd
t0: [12:30:00 08/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 71.6 rs: Final st: NotStopd t0: [12:30:00 08/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 71.6 rs: Final st: NotStopd
t0: [15:34:00 08/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [15:34:00 08/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [15:34:00 08/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:34:00 08/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:34:00 08/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [15:34:00 08/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [15:34:00 08/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [15:34:00 08/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:34:00 08/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 18.8 u1: L/min st: NotStopd t0: [15:34:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:34:00 08/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [15:34:00 08/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:34:00 08/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [15:34:00 08/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:34:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:34:00 08/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [15:34:00 08/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [15:34:00 08/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [15:34:00 08/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: No v2: No st: NotStopd t0: [15:34:00 08/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [15:34:00 08/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [15:34:00 08/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [15:34:00 08/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:34:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
tf: [15:00:00 09/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [12:00:00 08/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [12:00:00 08/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [13:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [14:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [15:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [16:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [16:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [17:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [17:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [17:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml
t0: [23:00:00 08/12/2010] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: none
t0: [17:00:00 08/12/2010] id: Procedures el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd
t0: [17:00:00 08/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 84 rs: Manual st: NotStopd
t0: [12:00:00 08/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 08/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 08/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 08/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 08/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 08/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 08/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 08/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 08/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 08/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 08/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 08/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 08/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 08/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 08/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [16:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [16:00:00 08/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [18:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [18:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [18:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [18:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.7778 u1: Deg. C st: NotStopd t0: [18:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94.6 u1: Deg. F st: NotStopd t0: [18:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml
t0: [18:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 08/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [17:00:00 08/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [09:00:00 08/12/2010] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [17:30:00 08/12/2010] id: Procedures el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd
t0: [17:15:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:15:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:15:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:15:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [17:15:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:15:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [17:15:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:15:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 08/12/2010] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd
t0: [17:15:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:15:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:30:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:30:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:30:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:30:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:30:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [17:30:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:30:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 08/12/2010] id: Cough Effort el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: Cough Type el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: LLE Temp/Color el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: RLE Temp/Color el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 08/12/2010] id: Respiratory Effort el: 0 cu: CCU cg: -1 st: D/C'd
io: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 100 ru: ml/hr
id: TPN el: 1 cu: CCU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 08/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 08/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [20:00:00 08/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 08/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 08/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 08/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 08/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 08/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 08/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 9.77 u1: L/min st: NotStopd t0: [20:00:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 08/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 08/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 08/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 08/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 08/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 08/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 08/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 765 u1: ml/B st: NotStopd t0: [20:00:00 08/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: No v2: No st: NotStopd t0: [20:00:00 08/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [20:00:00 08/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 08/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 08/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [20:30:00 08/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [20:30:00 08/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:30:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:30:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:30:00 08/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [20:30:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [20:30:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [20:30:00 08/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:30:00 08/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:30:00 08/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [20:30:00 08/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [20:30:00 08/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:30:00 08/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:30:00 08/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:30:00 08/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:30:00 08/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:30:00 08/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:30:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:30:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:30:00 08/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:30:00 08/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:30:00 08/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:30:00 08/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:30:00 08/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:30:00 08/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [20:30:00 08/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:30:00 08/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 08/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:30:00 08/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 08/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 08/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [20:30:00 08/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:30:00 08/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 08/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 08/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:30:00 08/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:30:00 08/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:30:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:30:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:30:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:30:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [20:30:00 08/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 08/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 08/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:30:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:30:00 08/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 08/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:30:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:30:00 08/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:30:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [20:30:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [20:30:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95 u1: Deg. F st: NotStopd t0: [20:30:00 08/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 08/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 08/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Withdrawn st: NotStopd t0: [20:30:00 08/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:30:00 08/12/2010] tf: [13:00:00 11/12/2010] dt: 3870 id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 0 vu: ml nb: 1 t0: [20:30:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 17.5 vu: ml t0: [20:30:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 50.625 vu: ml t0: [20:30:00 08/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 50 vu: ml
t0: [20:30:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:30:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 390 ap: none
t0: [21:00:00 08/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 08/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
tf: [21:00:00 09/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [22:09:00 08/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 120 u1: mmHg rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.18 rs: Final st: NotStopd t0: [22:09:00 08/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd
t0: [22:00:00 08/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [22:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10.5 vu: ml t0: [22:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 30.375 vu: ml t0: [22:00:00 08/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml
t0: [22:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 08/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 08/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [23:00:00 08/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 08/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 08/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 08/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 08/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 08/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [23:00:00 08/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 08/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 08/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [23:00:00 08/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [23:00:00 08/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [23:00:00 08/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 08/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [23:00:00 08/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [23:00:00 08/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 100 cv: 300 ap: none t0: [23:00:00 08/12/2010] dt: 24 id: Colloids Total el: 1 cu: CCU cg: RN pv: 50 cv: 150 ap: none
t0: [00:00:00 09/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [00:00:00 09/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 09/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [00:00:00 09/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 09/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 09/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 09/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 09/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 09/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 09/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [00:00:00 09/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 09/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 09/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 09/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 09/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 09/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 635 u1: ml/B st: NotStopd t0: [00:00:00 09/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 09/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [00:00:00 09/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 09/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 09/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 09/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [01:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 09/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [01:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [01:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 47.25 vu: ml t0: [01:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [01:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:32:00 09/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [03:32:00 09/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [03:32:00 09/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [03:32:00 09/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [03:32:00 09/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [03:32:00 09/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd
t0: [03:00:00 09/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [03:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [03:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [03:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 09/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [03:00:00 09/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 09/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 09/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [03:00:00 09/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 09/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [03:00:00 09/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [03:00:00 09/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 09/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [03:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 09/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 09/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [03:00:00 09/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [03:00:00 09/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [03:00:00 09/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [03:00:00 09/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [03:00:00 09/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [03:00:00 09/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 09/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 09/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 09/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 09/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [03:00:00 09/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 09/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 09/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 09/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [03:00:00 09/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 09/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 09/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [03:00:00 09/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 09/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 09/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [03:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 09/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 09/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 09/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [03:00:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [03:00:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [03:00:00 09/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 09/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 09/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Withdrawn st: NotStopd t0: [03:00:00 09/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [03:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [03:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 47.25 vu: ml t0: [03:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [03:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 09/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.4 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 10.4 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 25.9 u1: % rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 127 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 2.71 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.4 rs: Final st: NotStopd
t0: [03:00:00 09/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13.7 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 60.9 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.7 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 60.9 rs: Final st: NotStopd
t0: [03:00:00 09/12/2010] id: Fibrinogen Coags el: 0 cu: CCU cg: 140 v1: 538 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Fibrinogen (150-400) Coags el: 0 cu: CCU cg: 140 v1: 538 rs: Final st: NotStopd
t0: [03:00:00 09/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 120 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 142 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 81 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 101 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 1117 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 231 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 120 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 142 rs: Final st: NotStopd
t0: [03:00:00 09/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 19.1 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 19.1 rs: Final st: NotStopd t0: [04:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [04:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 09/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [04:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [04:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 23.625 vu: ml t0: [04:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [04:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 09/12/2010] id: Digoxin Drug Level el: 0 cu: CCU cg: 140 v1: 2 u1: ng rs: Final st: NotStopd
t0: [05:30:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:30:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:30:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:30:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [05:30:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [05:30:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:30:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:30:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:30:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:30:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:30:00 09/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110 u1: kg st: NotStopd t0: [05:30:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:30:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:30:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [05:30:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [05:30:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [05:30:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10.5 vu: ml t0: [05:30:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 30.375 vu: ml t0: [05:30:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml
t0: [05:30:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:30:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 180 ap: none
t0: [05:00:00 09/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 09/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 09/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 09/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 09/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 09/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [05:00:00 09/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 09/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 09/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:00:00 09/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 34 u1: % st: NotStopd t0: [05:00:00 09/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 483 u1: ml/B st: NotStopd t0: [05:00:00 09/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 09/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [05:00:00 09/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 09/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 09/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 09/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [06:30:00 09/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 26.7 u1: % rs: Final st: NotStopd
t0: [07:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [07:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [08:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10.5 vu: ml t0: [07:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 25.3125 vu: ml t0: [07:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml t0: [08:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [08:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [08:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [07:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 09/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 09/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [08:00:00 09/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 09/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 09/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 09/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 09/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 09/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [08:00:00 09/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 09/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 09/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 09/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 813 u1: ml/B st: NotStopd t0: [08:00:00 09/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 09/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [08:00:00 09/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 09/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 09/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 09/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN u1: % st: NotStopd t0: [09:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [09:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [09:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [09:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [10:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [10:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 09/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [08:00:00 09/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 09/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 09/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 09/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 09/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 09/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 09/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 09/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 09/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 09/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 09/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [08:00:00 09/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 09/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 09/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 09/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 09/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 09/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 09/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 09/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 09/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 09/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 09/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 09/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 09/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 09/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 09/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Withdrawn st: NotStopd t0: [08:00:00 09/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
pt: TPN
t0: [08:00:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [11:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [11:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [11:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [11:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [11:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 09/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 09/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [12:00:00 09/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 09/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 09/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 09/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 09/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 09/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 09/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [12:00:00 09/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 09/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 09/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 09/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 09/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 09/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 602 u1: ml/B st: NotStopd t0: [12:00:00 09/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 09/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [12:00:00 09/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 09/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 09/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 09/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 09/12/2010] tf: [14:26:00 15/12/2010] dt: 9326 id: Triglyceride Chemistry el: 0 cu: CCU cg: 140 v1: 203 rs: Final st: NotStopd t0: [03:00:00 09/12/2010] tf: [14:26:00 15/12/2010] dt: 9326 id: Triglyceride (0-200) Chemistry el: 0 cu: CCU cg: 140 v1: 203 rs: Final st: NotStopd
t0: [12:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [12:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [13:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [12:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [13:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [13:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:42:00 09/12/2010] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [14:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [14:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml t0: [14:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [14:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 09/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:00:00 09/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [16:00:00 09/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 09/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 09/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 09/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 09/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 09/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [16:00:00 09/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 09/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 09/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 09/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 789 u1: ml/B st: NotStopd t0: [16:00:00 09/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 09/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [16:00:00 09/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 09/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 09/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 09/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
id: Packed RBC's el: 1 cu: CCU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [14:00:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [14:00:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [15:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [16:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [16:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [16:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vu: ml nb: 1 t0: [15:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml t0: [15:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [16:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 09/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml t0: [16:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [15:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/12/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [17:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [17:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [17:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN u1: kg st: NotStopd t0: [10:00:00 08/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN u1: kg st: NotStopd t0: [15:00:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [15:00:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [15:00:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd
t0: [12:00:00 09/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 132 rs: Manual st: NotStopd t0: [18:00:00 09/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [18:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [18:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 09/12/2010] tf: [03:45:00 13/12/2010] dt: 4905 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 375 vu: ml t0: [18:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [18:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2010] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: RN cv: 375 ap: none
tf: [09:00:00 28/12/2010] pt: IV Piggyback rt: IV fr: Q48H dn: 0 m1: Ambisome v1: 210 u1: mg m2: D5W v2: 157.5 u2: ml
t0: [20:15:00 09/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:15:00 09/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [20:15:00 09/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:15:00 09/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:15:00 09/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:15:00 09/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:15:00 09/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:15:00 09/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:15:00 09/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 14.7 u1: L/min st: NotStopd t0: [20:15:00 09/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:15:00 09/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:15:00 09/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:15:00 09/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:15:00 09/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:15:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 92 u1: % st: NotStopd t0: [20:15:00 09/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [20:15:00 09/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:15:00 09/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [20:15:00 09/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [20:15:00 09/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [20:15:00 09/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:15:00 09/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [20:15:00 09/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thin st: NotStopd t0: [20:15:00 09/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [20:00:00 09/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [20:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [20:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [20:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 09/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 09/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 09/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 09/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 09/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 09/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 09/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 09/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 09/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 09/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [20:00:00 09/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 09/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 09/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 09/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 09/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 09/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 09/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 09/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 09/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 09/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 09/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [20:00:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [20:00:00 09/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Restless st: NotStopd t0: [20:00:00 09/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [20:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [22:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [22:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 09/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 09/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [23:00:00 09/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 09/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 09/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 09/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 09/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 09/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 09/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 09/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 09/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [23:00:00 09/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [23:00:00 09/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [23:00:00 09/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 09/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [23:00:00 09/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 09/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 42 cv: 42 ap: none t0: [23:00:00 09/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 12 cv: 1203.56 ap: none t0: [23:00:00 09/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 100 cv: 2400 ap: none t0: [23:00:00 09/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 112 cv: 4158.56 ap: none t0: [23:00:00 09/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 70 cv: 2060 ap: none t0: [23:00:00 09/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 42 cv: 2098.56 ap: none t0: [23:00:00 09/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 70 cv: 2060 ap: none t0: [23:00:00 09/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 42 cv: 80136.4 ap: carryForward
t0: [01:00:00 10/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [01:00:00 10/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [01:00:00 10/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 10/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 10/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 10/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 10/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 10/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [01:00:00 10/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 15.1 u1: L/min st: NotStopd t0: [01:00:00 10/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 10/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 10/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [01:00:00 10/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [01:00:00 10/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 81 u1: % st: NotStopd t0: [01:00:00 10/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thin st: NotStopd t0: [01:00:00 10/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [01:00:00 10/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [01:00:00 10/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:00:00 10/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [01:00:00 10/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [01:00:00 10/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [01:00:00 10/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 10/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [00:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [00:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [02:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 10/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [02:00:00 10/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:00:00 10/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [03:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [03:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [03:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 10/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [03:00:00 10/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 10/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 10/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 10/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 10/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [03:00:00 10/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [03:00:00 10/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [03:00:00 10/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 10/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [03:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 15 st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 24 st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 10 v2: 29 st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 10/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 10 v2: 18 st: NotStopd t0: [03:00:00 10/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [03:00:00 10/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [03:00:00 10/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [03:00:00 10/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 10/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 10/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 10/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [03:00:00 10/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 10/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 10/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 10/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [03:00:00 10/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 10/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 10/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 10/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 10/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [03:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 10/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 10/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 10/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 10/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 10/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Restless st: NotStopd t0: [03:00:00 10/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [03:08:00 10/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [03:08:00 10/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [03:08:00 10/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [03:08:00 10/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [03:08:00 10/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [03:08:00 10/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd
t0: [02:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [02:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [03:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [03:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [02:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 90 cv: 90 ap: none t0: [23:00:00 10/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 22 cv: 22 ap: none t0: [23:00:00 10/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 12 cv: 678 ap: none t0: [23:00:00 10/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 100 cv: 2400 ap: none t0: [23:00:00 10/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 112 cv: 3138 ap: none t0: [23:00:00 10/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 90 cv: 1725 ap: none t0: [23:00:00 10/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 22 cv: 1413 ap: none t0: [23:00:00 10/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 90 cv: 1725 ap: none t0: [23:00:00 10/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 22 cv: 81549.4 ap: carryForward
t0: [03:12:00 10/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.6 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 8.6 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.7 u1: % rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 119 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.6 rs: Final st: NotStopd
t0: [03:12:00 10/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 125 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 76 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 1035 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 175 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 125 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd
t0: [03:12:00 10/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 12.9 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 52.3 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12.9 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 52.3 rs: Final st: NotStopd
t0: [03:12:00 10/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 19.4 rs: Final st: NotStopd t0: [03:12:00 10/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 19.4 rs: Final st: NotStopd
t0: [04:30:00 10/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:30:00 10/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [04:30:00 10/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 10/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:30:00 10/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:30:00 10/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [04:30:00 10/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:30:00 10/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:30:00 10/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 16.2 u1: L/min st: NotStopd t0: [04:30:00 10/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 10/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 10/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:30:00 10/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:30:00 10/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 93 u1: % st: NotStopd t0: [04:30:00 10/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:30:00 10/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:30:00 10/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 782 u1: ml/B st: NotStopd t0: [04:30:00 10/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:30:00 10/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [04:30:00 10/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [04:30:00 10/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [04:30:00 10/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:30:00 10/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [05:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 10/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 10/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [05:00:00 10/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [05:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [05:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [05:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 10/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [09:00:00 10/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [09:00:00 10/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 10/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 10/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 10/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 10/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [09:00:00 10/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [09:00:00 10/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 10/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 10/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:00:00 10/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 10/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 10/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 634 u1: ml/B st: NotStopd t0: [09:00:00 10/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:00:00 10/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [09:00:00 10/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [09:00:00 10/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [09:00:00 10/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 10/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [07:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [07:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [08:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [07:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [08:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [08:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [09:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [07:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 10/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [11:00:00 10/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [11:00:00 10/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 10/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 10/12/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Trach Mask st: NotStopd t0: [11:00:00 10/12/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [11:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 10/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 10/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #6 st: NotStopd t0: [11:00:00 10/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 10/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd
t0: [10:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [10:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN tf: [10:00:00 11/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Midazolam HCl v1: 1-2 u1: mg
t0: [11:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [11:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [11:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [11:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 10/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 145 rs: Manual st: NotStopd
t0: [12:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [12:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [12:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [13:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd t0: [13:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [13:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [15:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [15:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [14:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [15:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [14:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:26:00 10/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [15:26:00 10/12/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.7015 u1: ml/dl st: NotStopd t0: [15:26:00 10/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [15:26:00 10/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [15:26:00 10/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [15:26:00 10/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [15:26:00 10/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [15:26:00 10/12/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
io: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: Peptamen el: 1 cu: CCU cg: RN io: Peptamen Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [11:00:00 10/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [11:00:00 10/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [11:00:00 10/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd
t0: [16:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [16:00:00 10/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vu: ml nb: 1 t0: [17:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [16:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 0 ap: none
t0: [16:00:00 10/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 10/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 10/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95 u1: Deg. F st: NotStopd t0: [18:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [18:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 10/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 10/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 10/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 10/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 10/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 10/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 10/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 10/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 10/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 10/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 10/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 10/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 10/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 10/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 10/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [14:00:00 10/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [14:00:00 10/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 10/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [14:00:00 10/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 10/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 10/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 10/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [14:00:00 10/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [14:00:00 10/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [14:00:00 10/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [14:00:00 10/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 10/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 10/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 10/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [14:00:00 10/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 10/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 10/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 10/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 10/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 10/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 10/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [19:46:00 10/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [19:46:00 10/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd
t0: [19:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [19:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [19:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [19:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [19:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [21:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 10/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 10/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.4444 u1: Deg. C st: NotStopd t0: [21:00:00 10/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94 u1: Deg. F st: NotStopd t0: [21:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [21:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [22:30:00 10/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [22:30:00 10/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [22:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 10/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 10/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 10/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 10/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 10/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 10/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 10/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 10/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 10/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 10/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 10/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.3333 u1: Deg. C st: NotStopd t0: [00:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 93.8 u1: Deg. F st: NotStopd t0: [00:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [22:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [23:00:00 10/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 10/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [00:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [22:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [20:00:00 10/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 10/12/2010] id: Trach Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [21:00:00 10/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [23:00:00 10/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [23:00:00 10/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [00:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [22:00:00 10/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: RN v1: 7.34 rs: Manual st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: RN v1: -5 rs: Manual st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: RN v1: 21 rs: Manual st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: RN v1: 37 u1: mmHg rs: Manual st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: RN v1: 109 u1: mmHg rs: Manual st: NotStopd t0: [22:00:00 10/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: RN v1: 7.34 rs: Manual st: NotStopd
t0: [20:00:00 10/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [20:00:00 10/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 10/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 10/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 10/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 10/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN st: NotStopd t0: [20:00:00 10/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [20:00:00 10/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 10/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 10/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 10/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [20:00:00 10/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 10/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 10/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 10/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 10/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 10/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 10/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 10/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [19:00:00 10/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [19:00:00 10/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [19:00:00 10/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [19:00:00 10/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:00:00 10/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:00:00 10/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 10/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 10/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 10/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 10/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 10/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [20:00:00 10/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 10/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 11/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 11/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 11/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [00:00:00 11/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 11/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 11/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 11/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 11/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 11/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 11/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [00:00:00 11/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 11/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 11/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 10/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 10/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 10/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd
t0: [20:00:00 10/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [00:00:00 11/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 11/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 11/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd
t0: [01:00:00 11/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 11/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [01:00:00 11/12/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Trach Mask st: NotStopd t0: [01:00:00 11/12/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [01:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [01:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [01:30:00 11/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 74 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 934 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 110 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 146 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd
t0: [01:30:00 11/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.8 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6.8 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.4 u1: % rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 100 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.28 u1: /mic l rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.8 rs: Final st: NotStopd
t0: [01:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [01:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.4444 u1: Deg. C st: NotStopd t0: [01:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94 u1: Deg. F st: NotStopd t0: [01:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [02:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.6667 u1: Deg. C st: NotStopd t0: [02:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94.4 u1: Deg. F st: NotStopd t0: [02:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 14 vu: ml t0: [02:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [01:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:30:00 11/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 12.8 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 52 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12.8 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 52 rs: Final st: NotStopd t0: [02:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [01:30:00 11/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 16.8 rs: Final st: NotStopd t0: [01:30:00 11/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 16.8 rs: Final st: NotStopd
t0: [02:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 11/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [03:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [03:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.2778 u1: Deg. C st: NotStopd t0: [03:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.5 u1: Deg. F st: NotStopd t0: [03:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [03:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [03:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 60 ap: none t0: [23:00:00 11/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 11/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 511.25 cv: 511.25 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 311.25 cv: 2604.8 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 300 cv: 2300 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 611.25 cv: 5274.8 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 370 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 100 cv: 879 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 511.25 cv: 4245.8 ap: none t0: [23:00:00 11/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 100 cv: 1029 ap: none t0: [23:00:00 11/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 511.25 cv: 85795.2 ap: carryForward
t0: [00:00:00 11/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [00:00:00 11/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 11/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 11/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 11/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 11/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [00:00:00 11/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [00:00:00 11/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 11/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 11/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 11/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 11/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 11/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 11/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 11/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [22:00:00 10/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 10/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 10/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 10/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 10/12/2010] id: ROM el: 0 cu: CCU cg: RN v1: Active st: NotStopd t0: [22:00:00 10/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 10/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 10/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [00:00:00 11/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [01:00:00 11/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [03:00:00 11/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 11/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 11/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [04:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 11/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 11/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 11/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 11/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [04:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [04:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [04:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [04:15:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:15:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:15:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:15:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:15:00 11/12/2010] id: NBP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [04:15:00 11/12/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [04:15:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 70 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:15:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [04:15:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:15:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:15:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:15:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:15:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:37:00 11/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [04:37:00 11/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [04:37:00 11/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [04:37:00 11/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [04:37:00 11/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [04:37:00 11/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd
t0: [04:00:00 11/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [20:00:00 10/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN rs: Manual st: NotStopd t0: [22:00:00 10/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [05:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [05:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [05:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [05:20:00 11/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:20:00 11/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:20:00 11/12/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Trach Mask st: NotStopd t0: [05:20:00 11/12/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [05:20:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd
t0: [05:20:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:20:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 11/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [05:00:00 11/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 11/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 11/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 11/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 11/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [05:00:00 11/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [05:00:00 11/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 11/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [05:00:00 11/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [05:00:00 11/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 11/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [05:00:00 11/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [05:00:00 11/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 11/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 11/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 11/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 11/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 11/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [05:00:00 11/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 11/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 11/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [06:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [06:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [06:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [06:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [06:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [06:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [06:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 10/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 10/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 10/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 11/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 11/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 11/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 11/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 11/12/2010] id: ROM el: 0 cu: CCU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [04:00:00 11/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 11/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 11/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [05:00:00 11/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 11/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd
t0: [07:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [07:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [07:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [07:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Dampened st: NotStopd t0: [05:00:00 11/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [05:00:00 11/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [05:00:00 11/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [05:00:00 11/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [05:00:00 11/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [05:00:00 11/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 11/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 11/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 11/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 11/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [05:00:00 11/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [05:00:00 11/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 11/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [05:00:00 11/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [05:00:00 11/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [05:00:00 11/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [07:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [07:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.3 u1: Deg. F st: NotStopd
id: Dopamine el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip id: Dopamine el: 200 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 11/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 11/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 11/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 11/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 11/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 11/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 17.2 u1: L/min st: NotStopd t0: [08:00:00 11/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 11/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 11/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [08:00:00 11/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 11/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 512 u1: ml/B st: NotStopd t0: [08:00:00 11/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 11/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [07:20:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:20:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:20:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:20:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:20:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:20:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 75 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:20:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [07:20:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:20:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:20:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [07:20:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:30:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:30:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:30:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:30:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:30:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [07:30:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:30:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:30:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [07:30:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:40:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:40:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [07:40:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:40:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:40:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:40:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 66 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:40:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [07:40:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:40:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:40:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [07:40:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:20:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:30:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:30:00 11/12/2010] tf: [13:30:00 13/12/2010] dt: 3240 id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:40:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:40:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:45:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:45:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [07:45:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:45:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:45:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:45:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:45:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [07:45:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:45:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:45:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [07:45:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:45:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:45:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [08:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [08:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [09:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [08:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [09:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [09:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [08:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:32:00 11/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.7 u1: % rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.4 u1: /mic l rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd
t0: [08:32:00 11/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd
t0: [08:32:00 11/12/2010] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 14 rs: Final st: NotStopd
t0: [08:32:00 11/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 57.1 rs: Final st: NotStopd t0: [08:32:00 11/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 57.1 rs: Final st: NotStopd
t0: [10:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [10:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [11:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [11:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
pt: TPN
t0: [09:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [11:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 125 rs: Manual st: NotStopd
t0: [12:00:00 11/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 11/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 11/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 11/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 11/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 11/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 20.9 u1: L/min st: NotStopd t0: [12:00:00 11/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 11/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 11/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [12:00:00 11/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Green v2: Thick st: NotStopd t0: [12:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 11/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 653 u1: ml/B st: NotStopd t0: [12:00:00 11/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 11/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [12:27:00 11/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.31 rs: Final st: NotStopd t0: [12:27:00 11/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [12:27:00 11/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [12:27:00 11/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [12:27:00 11/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [12:27:00 11/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.31 rs: Final st: NotStopd
tf: [08:00:00 17/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [14:00:00 11/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 100 rs: Manual st: NotStopd
t0: [08:00:00 11/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 11/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 11/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 11/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [10:00:00 11/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Agitated st: NotStopd t0: [12:00:00 11/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [12:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [14:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [14:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [14:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [14:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/12/2010] tf: [13:30:00 13/12/2010] dt: 3270 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 10.1 vu: ml t0: [08:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.9 vu: ml t0: [09:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.9 vu: ml t0: [10:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.9 vu: ml t0: [11:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [12:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [12:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [14:00:00 11/12/2010] tf: [14:26:00 15/12/2010] dt: 5786 id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [13:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [13:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 0 vu: ml t0: [14:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [14:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [14:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [12:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/12/2010] dt: 24 id: Gastric Out Total el: 1 cu: CCU cg: RN cv: 150 ap: none
tf: [14:00:00 12/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Haloperidol v1: 2 u1: mg
t0: [15:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [15:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [15:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [15:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 11/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 11/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 11/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 11/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 11/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 11/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 11/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 15.4 u1: L/min st: NotStopd t0: [16:00:00 11/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 11/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 11/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 11/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 11/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 11/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 707 u1: ml/B st: NotStopd t0: [16:00:00 11/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 11/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [16:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [16:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [16:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 11/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 11/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 11/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 11/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [08:00:00 11/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 11/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 11/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [08:00:00 11/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 11/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 11/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 11/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 11/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 11/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 11/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 11/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 11/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 11/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 11/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 11/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 11/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 11/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 11/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 11/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [08:00:00 11/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 11/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 11/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 11/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 11/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 11/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [12:00:00 11/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 11/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 11/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 11/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 11/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 11/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 11/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 11/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [12:00:00 11/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [12:00:00 11/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [12:00:00 11/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 11/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 11/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 11/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 11/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 11/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 11/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 11/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 11/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 11/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 11/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 11/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 11/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 11/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 11/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [12:00:00 11/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 11/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 11/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 11/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [14:00:00 11/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 11/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 11/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 11/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [16:00:00 11/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 11/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 11/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 11/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 11/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 11/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 11/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [16:00:00 11/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 11/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 11/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 11/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 11/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 11/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 11/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 11/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 11/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 11/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 11/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [16:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [16:00:00 11/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 11/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 11/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 11/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 11/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [16:00:00 11/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 11/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 11/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [17:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [17:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [17:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Lactated Ringers el: 1 cu: CCU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [17:26:00 11/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [17:26:00 11/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [17:26:00 11/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [17:26:00 11/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [17:26:00 11/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [17:26:00 11/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd
t0: [18:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 11/12/2010] tf: [14:26:00 15/12/2010] dt: 5546 id: lactated ringers el: 0 cu: CCU cg: RN v1: 100 t0: [18:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [18:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [18:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [18:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [18:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [18:00:00 11/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 0 vu: ml nb: 1 t0: [18:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [18:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [18:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [18:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:03:00 11/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [17:03:00 11/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [17:03:00 11/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 65.6 rs: Final st: NotStopd t0: [17:03:00 11/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [17:03:00 11/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [17:03:00 11/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 65.6 rs: Final st: NotStopd
t0: [20:00:00 11/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 11/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 11/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 11/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 11/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 18.4 u1: L/min st: NotStopd t0: [20:00:00 11/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 11/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 11/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [20:00:00 11/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 11/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 545 u1: ml/B st: NotStopd t0: [20:00:00 11/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 11/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [19:00:00 11/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [19:00:00 11/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [19:00:00 11/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [19:00:00 11/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [19:00:00 11/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [19:00:00 11/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [19:00:00 11/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [19:00:00 11/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [19:00:00 11/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [19:00:00 11/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [19:00:00 11/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [19:00:00 11/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [19:00:00 11/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 11/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [19:00:00 11/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 11/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [19:00:00 11/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [19:00:00 11/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:00:00 11/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 11/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [20:00:00 11/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 11/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 11/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [21:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [21:00:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [21:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 33.75 vu: ml t0: [20:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [21:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 11/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd
t0: [20:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [20:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Thin st: NotStopd t0: [21:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:30:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:30:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:30:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:30:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:30:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:30:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:30:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [21:30:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 68 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:30:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [21:30:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [21:30:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:30:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [21:30:00 11/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [21:30:00 11/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [21:30:00 11/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [21:30:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:40:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:40:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:40:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:40:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:40:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:40:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:40:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:40:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [21:40:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:40:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [21:40:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [21:40:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:40:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [21:40:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:30:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:40:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:40:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 11/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 11/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Poor st: NotStopd t0: [21:00:00 11/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 11/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 11/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 11/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 11/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 11/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [23:00:00 11/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 11/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 11/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 11/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 11/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 11/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 11/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 11/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 11/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 11/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 27 vu: ml t0: [23:00:00 11/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 74.25 vu: ml t0: [23:00:00 11/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 300 vu: ml
t0: [23:00:00 11/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Thin st: NotStopd t0: [23:00:00 11/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [21:00:00 11/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 12/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [00:00:00 12/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 12/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 12/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 12/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 12/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [00:00:00 12/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 12/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 12/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 12/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 12/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 12/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 12/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [00:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 27 vu: ml t0: [00:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [00:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 12/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 12/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 12/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 12/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 12/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 17.9 u1: L/min st: NotStopd t0: [00:00:00 12/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 12/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 12/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [00:00:00 12/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 12/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 12/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 553 u1: ml/B st: NotStopd t0: [00:00:00 12/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 12/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 12/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 12/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [01:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [01:00:00 12/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [01:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [01:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [01:00:00 12/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 12/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.33333 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [02:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.33333 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [03:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 27 vu: ml t0: [03:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 63 vu: ml t0: [03:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 300 vu: ml
t0: [03:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 4.44444 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 12/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 1491.6 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN cv: 2200 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 4676.6 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 110 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1705 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 2971.6 ap: none t0: [23:00:00 12/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1705 ap: none t0: [23:00:00 12/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 88766.8 ap: carryForward
t0: [03:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [03:00:00 12/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 12/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [03:00:00 12/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [03:00:00 12/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 12/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [03:00:00 12/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 12/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 12/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 12/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [04:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 15 vu: ml t0: [04:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [04:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 4.44444 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 12/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.6 u1: % rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 90 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.05 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd
t0: [03:00:00 12/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 133 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 81 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 113 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 968 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 133 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 155 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd
t0: [03:00:00 12/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 16.8 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 16.8 rs: Final st: NotStopd
t0: [03:00:00 12/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13.2 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.2 rs: Final st: NotStopd
t0: [03:00:00 12/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 66.1 rs: Final st: NotStopd t0: [03:00:00 12/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 66.1 rs: Final st: NotStopd
t0: [04:36:00 12/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [04:36:00 12/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [04:36:00 12/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [04:36:00 12/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [04:36:00 12/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [04:36:00 12/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd
t0: [04:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 12/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 12/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 12/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 12/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 18.5 u1: L/min st: NotStopd t0: [04:00:00 12/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 12/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:00:00 12/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 12/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 688 u1: ml/B st: NotStopd t0: [04:00:00 12/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 12/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 4.44444 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [05:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [05:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [05:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [05:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 15 vu: ml t0: [05:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [06:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [06:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [06:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [06:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 12/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 12/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 12/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 12/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 12/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 12/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 12/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 12/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 12/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 12/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 12/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 12/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 12/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [08:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 12/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 27 vu: ml t0: [08:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 48.75 vu: ml t0: [08:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 300 vu: ml
t0: [08:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 12/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 12/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Intermittent v2: Brown st: NotStopd t0: [08:00:00 12/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 12/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 12/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [09:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 12/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [09:00:00 12/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [09:00:00 12/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [09:00:00 12/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [09:00:00 12/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [09:00:00 12/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 12/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:00:00 12/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [09:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [09:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [09:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 12/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 12/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [09:00:00 12/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 12/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [09:00:00 12/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 12/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [09:00:00 12/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [09:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 12/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [09:00:00 12/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [09:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 12/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [09:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 12/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 12/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 12/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [09:00:00 12/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 12/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [09:00:00 12/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [09:00:00 12/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [09:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 12/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [09:00:00 12/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:00:00 12/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [09:00:00 12/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [09:00:00 12/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [09:00:00 12/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 12/12/2010] id: RSBI (<100) el: 0 cu: CCU cg: RRT v1: 30 u1: units st: NotStopd t0: [09:00:00 12/12/2010] id: RSBI (<200) el: 0 cu: CCU cg: RRT v1: 30 u1: units st: NotStopd t0: [09:00:00 12/12/2010] id: Spon RR (Mech.) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [09:00:00 12/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: CCU cg: RRT v1: 0.8 u1: L st: NotStopd
t0: [10:11:00 12/12/2010] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [10:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6.99259 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/12/2010] tf: [11:00:00 13/12/2010] dt: 1620 id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 100 vu: ml t0: [09:00:00 12/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 100 vu: ml t0: [10:00:00 12/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 100 vu: ml t0: [10:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 33.75 vu: ml t0: [10:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [11:00:00 12/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 10 vu: ml t0: [11:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [11:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.6 vu: ml t0: [11:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [11:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6.99259 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 12/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml nb: 1
t0: [11:00:00 12/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [11:00:00 12/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [11:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [11:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 12/12/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Trach Mask st: NotStopd t0: [11:00:00 12/12/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [11:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Green v2: Thick st: NotStopd t0: [11:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 12/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 12/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [11:00:00 12/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 12/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd
pt: TPN
t0: [09:00:00 12/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 12/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 12/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 12/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 12/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 12/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 12/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 12/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [11:00:00 12/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [11:00:00 12/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 12/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 12/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [12:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [12:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 143 rs: Manual st: NotStopd
t0: [12:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [12:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.6 vu: ml t0: [12:00:00 12/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml t0: [12:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [12:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6.99259 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:15:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [11:15:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [11:30:00 12/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [11:30:00 12/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd
t0: [11:45:00 12/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [11:45:00 12/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [11:45:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:45:00 12/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:45:00 12/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [11:45:00 12/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [11:45:00 12/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 29 u1: L/min st: NotStopd t0: [11:45:00 12/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:45:00 12/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [11:45:00 12/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [11:45:00 12/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [11:45:00 12/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:45:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 93 u1: % st: NotStopd t0: [11:45:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [11:45:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:45:00 12/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [11:45:00 12/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:45:00 12/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [11:45:00 12/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [11:45:00 12/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [11:45:00 12/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:45:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 12/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [12:00:00 12/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 12/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 12/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 12/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 12/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 12/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 12/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 12/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
tf: [12:00:00 13/12/2010] pt: Unit Dose rt: IV fr: Q6H fs: 12, 18, 0, 6 dn: 4 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [12:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [13:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [13:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.6 vu: ml t0: [13:00:00 12/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [13:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6.99259 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/12/2010] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: RN cv: 775 ap: none
t0: [14:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [14:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.6 vu: ml t0: [14:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [14:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6.99259 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [15:00:00 26/12/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 15, 23, 7 dn: 3 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [15:00:00 12/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [15:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 12/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 12/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [15:00:00 12/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [15:00:00 12/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [15:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.6 vu: ml t0: [15:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [15:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 12/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 12/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 12/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [13:00:00 12/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 12/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 12/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [15:00:00 12/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RN v1: 10 v2: 17 st: NotStopd t0: [15:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RN v1: Tracheostomy st: NotStopd t0: [15:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Thick st: NotStopd t0: [15:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 12/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RN v1: Yes v2: No st: NotStopd t0: [15:00:00 12/12/2010] id: Trach Size el: 0 cu: CCU cg: RN v1: #8 st: NotStopd t0: [15:00:00 12/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RN v1: Portex st: NotStopd t0: [15:00:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd t0: [16:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [16:00:00 12/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 12/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 12/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 12/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 12/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [16:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 12/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [16:00:00 12/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 12/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 12/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 12/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 12/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 12/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 12/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 12/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [16:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.6 vu: ml t0: [16:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [15:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6.01481 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 12/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 55 rs: Final st: NotStopd
t0: [14:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [14:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [14:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd
t0: [17:00:00 12/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [17:00:00 12/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [17:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 12/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [17:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 12/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 12/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [17:00:00 12/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 27 u1: L/min st: NotStopd t0: [17:00:00 12/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 12/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [17:00:00 12/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 12/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [17:00:00 12/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [17:00:00 12/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 12/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [17:00:00 12/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 12/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [17:00:00 12/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 12/12/2010] id: Cuff Pressure-Airway el: 0 cu: CCU cg: RRT v1: 48 u1: cmH2O st: NotStopd
t0: [17:09:00 12/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.4 u1: % rs: Final st: NotStopd
t0: [16:00:00 12/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 12/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 12/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 12/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 12/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 12/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 12/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 12/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 12/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [17:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [17:00:00 12/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [17:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [17:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [17:00:00 12/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 12/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [16:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped t0: [17:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:24:00 12/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [17:24:00 12/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd
t0: [17:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 33.8 vu: ml t0: [18:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [18:00:00 12/12/2010] tf: [14:26:00 15/12/2010] dt: 4106 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/12/2010] dt: 24 id: Colloids Total el: 1 cu: CCU cg: RN cv: 100 ap: none
t0: [20:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 12/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [20:00:00 12/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 12/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 12/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 12/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 12/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 12/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 12/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 12/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 12/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 12/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [21:00:00 12/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [21:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#2 D/C Date el: 0 cu: CCU cg: RN v1: 11 v2: 2 st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 12/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [21:00:00 12/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 12/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 12/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 12/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 12/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 12/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 12/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Consist. Moist st: NotStopd t0: [21:00:00 12/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [21:00:00 12/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [21:00:00 12/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 12/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 50.7 vu: ml t0: [21:00:00 12/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 300 vu: ml
t0: [21:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [20:00:00 12/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 12/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [21:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.1 u1: Deg. F st: NotStopd
t0: [21:00:00 12/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [21:00:00 12/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [21:00:00 12/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:00:00 12/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [21:00:00 12/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 12/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [21:00:00 12/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 10 v2: Combivent st: NotStopd t0: [21:00:00 12/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 26 u1: L/min st: NotStopd t0: [21:00:00 12/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 12/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [21:00:00 12/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [21:00:00 12/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [21:00:00 12/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 12/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 727 u1: ml/B st: NotStopd t0: [21:00:00 12/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 12/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 12/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 12/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [21:00:00 12/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 12/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 12/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 12/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 12/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [22:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 12/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 12/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [22:00:00 12/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [22:00:00 12/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [22:00:00 12/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 12/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 12/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 12/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 12/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 12/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 12/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 12/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 12/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 12/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 12/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 12/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 12/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 12/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 13/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 13/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 13/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 13/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 13/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 13/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 13/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 50.7 vu: ml t0: [00:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 300 vu: ml
t0: [00:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 13/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 360 ap: none
t0: [00:00:00 13/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.6 u1: % rs: Final st: NotStopd
t0: [21:00:00 12/12/2010] id: Cuff Pressure-Airway el: 0 cu: CCU cg: RRT u1: cmH2O st: NotStopd t0: [01:00:00 13/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [01:00:00 13/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [01:00:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 13/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [01:00:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 13/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 13/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 13/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [01:00:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 22.6 u1: L/min st: NotStopd t0: [01:00:00 13/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 13/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [01:00:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [01:00:00 13/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:00:00 13/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 890 u1: ml/B st: NotStopd t0: [01:00:00 13/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:00:00 13/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [01:00:00 13/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [01:00:00 13/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [01:00:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 13/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 13/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 13/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 13/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [02:25:00 13/12/2010] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [02:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 33.8 vu: ml t0: [02:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [23:00:00 13/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 105 cv: 105 ap: none t0: [23:00:00 13/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 18.5 cv: 18.5 ap: none t0: [23:00:00 13/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 23.5 cv: 1445.91 ap: none t0: [23:00:00 13/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 100 cv: 2600 ap: none t0: [23:00:00 13/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 123.5 cv: 4930.91 ap: none t0: [23:00:00 13/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 105 cv: 2595 ap: none t0: [23:00:00 13/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 18.5 cv: 2335.91 ap: none t0: [23:00:00 13/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 105 cv: 2595 ap: none t0: [23:00:00 13/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 18.5 cv: 91102.8 ap: carryForward
t0: [03:57:00 13/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [03:57:00 13/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [03:57:00 13/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [03:57:00 13/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [03:57:00 13/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 113 u1: mmHg rs: Final st: NotStopd t0: [03:57:00 13/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd
t0: [03:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:45:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:45:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:45:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:45:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:45:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:45:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:45:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:45:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:45:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:45:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:45:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:45:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:45:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [03:45:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [03:45:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [03:45:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [03:45:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [04:00:00 13/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 13/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:45:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 29.575 vu: ml t0: [03:45:00 13/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 0 vu: ml nb: 1 t0: [03:45:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 175 vu: ml
t0: [03:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:45:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:15:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [04:15:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [04:15:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd
t0: [04:00:00 13/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 13/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 13/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 13/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 13/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 13/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 13/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [04:00:00 13/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 13/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 13/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 13/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 13/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 13/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 13/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 13/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [04:00:00 13/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 123 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 19.6 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 77 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 919 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 33 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 123 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 19.6 rs: Final st: NotStopd
t0: [04:00:00 13/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 63.1 rs: Final st: NotStopd t0: [04:00:00 13/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 63.1 rs: Final st: NotStopd
t0: [05:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5.00741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 13/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [05:00:00 13/12/2010] id: RSBI (<100) el: 0 cu: CCU cg: RRT u1: units st: NotStopd t0: [05:00:00 13/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [05:00:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 13/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:00:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 13/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 13/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 13/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 18.1 u1: L/min st: NotStopd t0: [05:00:00 13/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 13/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [05:00:00 13/12/2010] id: RSBI (<200) el: 0 cu: CCU cg: RRT u1: units st: NotStopd t0: [05:00:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [05:00:00 13/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 13/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 860 u1: ml/B st: NotStopd t0: [05:00:00 13/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 13/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 13/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 13/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [06:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 4.14815 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 13/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [06:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [06:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.4 u1: Deg. F st: NotStopd
t0: [06:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 38.025 vu: ml t0: [06:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 225 vu: ml
t0: [06:30:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:30:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:30:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:30:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:30:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:30:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [06:30:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:30:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:30:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:30:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [08:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.5 vu: ml t0: [08:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [07:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:43:00 13/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:43:00 13/12/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [08:43:00 13/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [08:43:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:43:00 13/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:43:00 13/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:43:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:43:00 13/12/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:43:00 13/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 14 st: NotStopd t0: [08:43:00 13/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:43:00 13/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:43:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 14.9 u1: L/min st: NotStopd t0: [08:43:00 13/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:43:00 13/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:43:00 13/12/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:43:00 13/12/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:43:00 13/12/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:43:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:43:00 13/12/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:43:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:43:00 13/12/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:43:00 13/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:43:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:43:00 13/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Brown v2: Plug st: NotStopd t0: [08:43:00 13/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [08:43:00 13/12/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:43:00 13/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:43:00 13/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:43:00 13/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [08:43:00 13/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [08:43:00 13/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [08:43:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:43:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [08:43:00 13/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RRT v1: Diminished st: NotStopd t0: [08:43:00 13/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RRT v1: Rhonchi st: NotStopd t0: [08:43:00 13/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RRT v1: Diminished st: NotStopd t0: [08:43:00 13/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RRT v1: Clear st: NotStopd t0: [08:43:00 13/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RRT v1: Regular st: NotStopd
t0: [09:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [10:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 84 u1: % st: NotStopd t0: [10:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 22 vu: ml t0: [10:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [09:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 13/12/2010] tf: [14:26:00 15/12/2010] dt: 3326 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 375 vu: ml t0: [07:00:00 13/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 375 vu: ml
t0: [09:15:00 13/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [09:15:00 13/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [09:15:00 13/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.2 u1: % rs: Final st: NotStopd t0: [09:15:00 13/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [09:15:00 13/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 85 rs: Final st: NotStopd t0: [09:15:00 13/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.29 u1: /mic l rs: Final st: NotStopd t0: [09:15:00 13/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd
t0: [23:00:00 13/12/2010] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: 140 cv: 375 ap: none
t0: [10:00:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 8 u1: . st: NotStopd
t0: [10:40:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:40:00 13/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:40:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [10:40:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 22.4 u1: L/min st: NotStopd t0: [10:40:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [10:40:00 13/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [10:40:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:40:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [10:40:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:40:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 38 u1: BPM st: NotStopd
t0: [11:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [11:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 11 vu: ml t0: [11:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [11:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 13/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 13/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 13/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 13/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 13/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 13/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 13/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 13/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 13/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 13/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 13/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 13/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 13/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [08:00:00 13/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 13/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 13/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 13/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 13/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 13/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None v2: Other/Remarks st: NotStopd t0: [08:00:00 13/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 13/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 13/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 13/12/2010] id: Nursing Consultation el: 0 cu: CCU cg: RN v1: Rehab/Skin CNS st: NotStopd t0: [08:00:00 13/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 13/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 13/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 13/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 13/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 13/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/12/2010] id: ROM el: 0 cu: CCU cg: RN v1: Active v2: Both Arms st: NotStopd t0: [08:00:00 13/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 13/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 13/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 13/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 13/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 13/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [08:00:00 13/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Orange v2: Sediment st: NotStopd t0: [08:00:00 13/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 13/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 13/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 13/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 13/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 13/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 13/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 6 u1: number st: NotStopd t0: [08:00:00 13/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [11:30:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd
pt: TPN
t0: [11:45:00 13/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [11:45:00 13/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd
t0: [11:30:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:30:00 13/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:30:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:30:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:30:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:30:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:30:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:30:00 13/12/2010] id: Procedures el: 0 cu: CCU cg: RN v1: Nuclear Medicine st: NotStopd t0: [11:30:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 37 u1: BPM st: NotStopd t0: [11:30:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [11:30:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:45:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:45:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:45:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:45:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:45:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:45:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:45:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:45:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:45:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [12:45:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [12:45:00 13/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [12:45:00 13/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:45:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:45:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:45:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 13/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [13:00:00 13/12/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [13:00:00 13/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [13:00:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 13/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [13:00:00 13/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [13:00:00 13/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:00:00 13/12/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 13/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 14 st: NotStopd t0: [13:00:00 13/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [13:00:00 13/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [13:00:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 17.2 u1: L/min st: NotStopd t0: [13:00:00 13/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 13/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 13/12/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [13:00:00 13/12/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [13:00:00 13/12/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [13:00:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [13:00:00 13/12/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [13:00:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [13:00:00 13/12/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 13/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [13:00:00 13/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [13:00:00 13/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 13/12/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [13:00:00 13/12/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [13:00:00 13/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [13:00:00 13/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [13:00:00 13/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [13:00:00 13/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [13:00:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [08:43:00 13/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd
t0: [13:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:30:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:30:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:30:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:30:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:30:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [13:30:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:30:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:30:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:30:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 27.5 vu: ml st: Stopped t0: [13:30:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 250 vu: ml
t0: [13:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.25926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [13:30:00 13/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 130 rs: Manual st: NotStopd
t0: [13:45:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:45:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:45:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:45:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:45:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:45:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:45:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:45:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [13:45:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:45:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:45:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [13:45:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:45:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 0 vu: ml nb: 1
t0: [13:45:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:45:00 13/12/2010] tf: [13:15:00 15/12/2010] dt: 2850 id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 13/12/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [14:30:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [14:30:00 13/12/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [14:30:00 13/12/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [14:30:00 13/12/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [14:30:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd
t0: [14:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 13/12/2010] id: Procedures el: 0 cu: CCU cg: RN st: NotStopd t0: [15:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/12/2010] tf: [12:00:00 14/12/2010] dt: 1260 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 13.9219 vu: ml t0: [15:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml
t0: [14:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 14/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
tf: [15:00:00 14/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Fentanyl Citrate v1: 100 u1: mcg tf: [15:00:00 14/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Lorazepam v1: 2 u1: mg tf: [15:00:00 14/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Midazolam HCl v1: 1 u1: mg
t0: [16:19:00 13/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:19:00 13/12/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [16:19:00 13/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [16:19:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:19:00 13/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:19:00 13/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:19:00 13/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:19:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:19:00 13/12/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:19:00 13/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [16:19:00 13/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 0 st: NotStopd t0: [16:19:00 13/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:19:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [16:19:00 13/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:19:00 13/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:19:00 13/12/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:19:00 13/12/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:19:00 13/12/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:19:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:19:00 13/12/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:19:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:19:00 13/12/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:19:00 13/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:19:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:19:00 13/12/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:19:00 13/12/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:19:00 13/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:19:00 13/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [16:19:00 13/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [16:19:00 13/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [16:19:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:19:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [15:16:00 13/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.1 u1: % rs: Final st: NotStopd
t0: [12:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 11.1375 vu: ml t0: [16:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [16:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 13/12/2010] dt: 24 id: Colloids Total el: 1 cu: CCU cg: RN cv: 150 ap: none
t0: [15:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [17:00:00 14/12/2010] pt: Unit Dose rt: IV fr: Q6H fs: 17, 23, 5, 11 dn: 4 m1: Metoclopramide v1: 10 u1: mg
t0: [17:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [17:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [17:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 13/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [15:00:00 13/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 13/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [15:00:00 13/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 13/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [15:00:00 13/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 13/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 13/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 13/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [15:00:00 13/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 13/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 13/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 13/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [15:00:00 13/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 13/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [15:00:00 13/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 13/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 13/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [15:00:00 13/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [15:00:00 13/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 13/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 13/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 13/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [15:00:00 13/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 13/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [15:00:00 13/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 13/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 13/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 13/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [15:00:00 13/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 13/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 13/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 13/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 13/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [17:00:00 13/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [17:00:00 13/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 13/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [17:00:00 13/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 13/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 13/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [17:00:00 13/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 13/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 13/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [17:00:00 13/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 13/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 13/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [17:00:00 13/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 13/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 13/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
t0: [18:00:00 13/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: -1 ai: 106 vo: 0 st: D/C'd
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: [18:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 13/12/2010] tf: [18:00:00 13/12/2010] dt: 360 id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 0 vu: ml nb: 1 t0: [12:00:00 13/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 10 vu: ml t0: [13:00:00 13/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 10 vu: ml t0: [14:00:00 13/12/2010] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 13/12/2010] tf: [12:00:00 14/12/2010] dt: 1260 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [15:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [18:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [18:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 13/12/2010] id: CVP el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 13/12/2010] id: NBP el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 13/12/2010] id: NBP Mean el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:00:00 13/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [20:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 13/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 13/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 13/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 13/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 13/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 13/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 13/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 13/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 13/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 13/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 13/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 13/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 13/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 13/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 13/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 13/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 13/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 13/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 13/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 13/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 33.75 vu: ml t0: [20:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [20:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 13/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 13/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [20:00:00 13/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 13/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 13/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 13/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 13/12/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 13/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [20:00:00 13/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [20:00:00 13/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 13/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 13/12/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 13/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 13/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 13/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 13/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 13/12/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 13/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 13/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 13/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 13/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 13/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 13/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 13/12/2010] id: Cuff Pressure-Airway el: 0 cu: CCU cg: RRT v1: 38 u1: cmH2O st: NotStopd
t0: [22:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [22:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 13/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 13/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 13/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 13/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 13/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 13/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 13/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 13/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 13/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 37 u1: BPM st: NotStopd t0: [23:00:00 13/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 13/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [23:00:00 13/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [23:00:00 13/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [23:00:00 13/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 33.75 vu: ml t0: [22:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [22:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 14/12/2010] id: Trach Insert Date el: 0 cu: CCU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 14/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [00:00:00 14/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 14/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 14/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 14/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 14/12/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 14/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [00:00:00 14/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 14/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 16.3 u1: L/min st: NotStopd t0: [00:00:00 14/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 14/12/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Not Applicable st: NotStopd t0: [00:00:00 14/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 14/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 14/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 14/12/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 521 u1: ml/B st: NotStopd t0: [00:00:00 14/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 14/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 14/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 14/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 14/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 14/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 13/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml t0: [23:00:00 13/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [01:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 23.625 vu: ml t0: [01:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [01:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 14/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 200.125 cv: 200.125 ap: none t0: [23:00:00 14/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 120.125 cv: 2247.62 ap: none t0: [23:00:00 14/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 100 cv: 2400 ap: none t0: [23:00:00 14/12/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 230.125 cv: 5002.62 ap: none t0: [23:00:00 14/12/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 30 cv: 1879 ap: none t0: [23:00:00 14/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 200.125 cv: 3063.62 ap: carryForward t0: [23:00:00 14/12/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 30 cv: 1939 ap: carryForward t0: [23:00:00 14/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 200.125 cv: 94166.4 ap: carryForward
t0: [03:23:00 14/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [03:23:00 14/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [03:23:00 14/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [03:23:00 14/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 14/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 14/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd
t0: [03:00:00 14/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [03:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [03:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 14/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [03:00:00 14/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 14/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [03:00:00 14/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [03:00:00 14/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 14/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [03:00:00 14/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 14/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 14/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [03:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 14/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [03:00:00 14/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [03:00:00 14/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 14/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 14/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 14/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 14/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [03:00:00 14/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 14/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 14/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 14/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [03:00:00 14/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 14/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 14/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 14/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 14/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 14/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [03:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [03:00:00 14/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 14/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 14/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 14/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 14/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 14/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [03:00:00 14/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [03:00:00 14/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [03:00:00 14/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 14/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Angry st: NotStopd t0: [03:00:00 14/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [03:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [03:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [03:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:25:00 14/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.5 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6.5 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.8 u1: % rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 74 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.43 u1: /mic l rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.5 rs: Final st: NotStopd
t0: [03:25:00 14/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 126 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 136 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 75 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 885 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 126 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 136 rs: Final st: NotStopd
t0: [03:25:00 14/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 20.9 rs: Final st: NotStopd t0: [03:25:00 14/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 20.9 rs: Final st: NotStopd
t0: [04:00:00 14/12/2010] id: RSBI (<100) el: 0 cu: CCU cg: RRT u1: units st: NotStopd t0: [04:00:00 14/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 14/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 14/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 14/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 14/12/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 14/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [04:00:00 14/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 14/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 21.6 u1: L/min st: NotStopd t0: [04:00:00 14/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 14/12/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Not Applicable st: NotStopd t0: [04:00:00 14/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 14/12/2010] id: RSBI (<200) el: 0 cu: CCU cg: RRT u1: units st: NotStopd t0: [04:00:00 14/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 14/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 14/12/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 611 u1: ml/B st: NotStopd t0: [04:00:00 14/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 14/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [05:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml
t0: [05:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:52:00 14/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [05:52:00 14/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [05:52:00 14/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 66.4 rs: Final st: NotStopd t0: [05:52:00 14/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [05:52:00 14/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [05:52:00 14/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 66.4 rs: Final st: NotStopd
t0: [07:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 14/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [07:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 37 u1: BPM st: NotStopd t0: [07:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 14/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 14/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 14/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 14/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 14/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 14/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 14/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 14/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 14/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 14/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 14/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 14/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 14/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#2 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [08:00:00 14/12/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 st: D/C'd t0: [08:00:00 14/12/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 st: D/C'd t0: [08:00:00 14/12/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [08:00:00 14/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 14/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 14/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 14/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 14/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 14/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 14/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 14/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 14/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 14/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 14/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 14/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 14/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 14/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/12/2010] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 14/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 14/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 14/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 14/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/12/2010] id: ROM el: 0 cu: CCU cg: RN v1: Passive v2: Both Arms st: NotStopd t0: [08:00:00 14/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/12/2010] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 14/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [08:00:00 14/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 14/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 14/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 14/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 14/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 14/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 14/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 14/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [08:00:00 14/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Orange v2: Sediment st: NotStopd t0: [08:00:00 14/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Withdrawn st: NotStopd t0: [08:00:00 14/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 14/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 14/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 14/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 14/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 14/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 6 u1: number st: NotStopd t0: [08:00:00 14/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [08:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 300 vu: ml
t0: [07:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/12/2010] dt: 24 id: Gastric Out Total el: 1 cu: CCU cg: RN cv: 60 ap: none
t0: [08:05:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:05:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:05:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:05:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:05:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:05:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [08:05:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:05:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:05:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [08:10:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:10:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:10:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:10:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:10:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:10:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [08:10:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:10:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [08:10:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd
t0: [08:05:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:05:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:10:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:10:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:15:00 14/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:15:00 14/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:15:00 14/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:15:00 14/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:15:00 14/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:15:00 14/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [08:15:00 14/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:15:00 14/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 16.3 u1: L/min st: NotStopd t0: [08:15:00 14/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:15:00 14/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:15:00 14/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:15:00 14/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:15:00 14/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:15:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:15:00 14/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 745 u1: ml/B st: NotStopd t0: [08:15:00 14/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:15:00 14/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [08:15:00 14/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd
io: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: D5RL el: 1 cu: CCU cg: RN io: D5RL 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 14/12/2010] id: Previous Weight el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [08:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [08:00:00 14/12/2010] id: BSA - English el: 0 cu: CCU cg: RN v1: 1.6137 u1: m2 st: NotStopd t0: [08:00:00 14/12/2010] id: BSA - Metric el: 0 cu: CCU cg: RN v1: 1.87384 u1: m2 st: NotStopd t0: [08:00:00 14/12/2010] id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 14/12/2010] id: Daily Weight el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [08:05:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN u1: kg st: NotStopd t0: [08:10:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN u1: kg st: NotStopd
t0: [09:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [09:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [09:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 9.5625 vu: ml t0: [09:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml
t0: [09:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 500 vu: ml t0: [09:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 0 vu: ml nb: 1
pt: TPN tf: [09:00:00 28/12/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Paroxetine HCl v1: 20 u1: mg tf: [21:00:00 31/12/2010] pt: Unit Dose rt: PR fr: BID:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
t0: [10:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [10:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 500 vu: ml t0: [10:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 6.75 vu: ml t0: [10:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [10:00:00 14/12/2010] tf: [14:26:00 15/12/2010] dt: 1706 id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml
t0: [10:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [09:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [11:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [11:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [11:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [12:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 0 vu: ml t0: [12:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [12:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 20 vu: ml
t0: [11:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:20:00 14/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:20:00 14/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:20:00 14/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:20:00 14/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:20:00 14/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:20:00 14/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [12:20:00 14/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:20:00 14/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:20:00 14/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [12:20:00 14/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:20:00 14/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [12:20:00 14/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:20:00 14/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [12:20:00 14/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:20:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd t0: [12:20:00 14/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:20:00 14/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:20:00 14/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [11:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [11:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 14/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [12:00:00 14/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 14/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 14/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 14/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 14/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 14/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 14/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 14/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 14/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 14/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 14/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 14/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 14/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [13:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 39 u1: BPM st: NotStopd t0: [13:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [14:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [14:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [14:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 14/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 14/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [14:00:00 14/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [14:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 14/12/2010] tf: [18:00:00 14/12/2010] dt: 240 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 13.5 vu: ml t0: [14:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [14:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 20 vu: ml
t0: [11:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [14:00:00 15/12/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 15 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [16:15:00 14/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:15:00 14/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:15:00 14/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:15:00 14/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:15:00 14/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:15:00 14/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 12 st: NotStopd t0: [16:15:00 14/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:15:00 14/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:15:00 14/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 21 u1: L/min st: NotStopd t0: [16:15:00 14/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:15:00 14/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:15:00 14/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:15:00 14/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:15:00 14/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:15:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:15:00 14/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [16:15:00 14/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:15:00 14/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 14/12/2010] id: Procedures el: 0 cu: CCU cg: RN v1: Nuclear Medicine st: NotStopd t0: [15:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [15:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [16:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [15:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 6.75 vu: ml t0: [15:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [15:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [16:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 6.75 vu: ml t0: [16:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [16:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml
t0: [15:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 14/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 14/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 14/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Restless st: NotStopd t0: [12:00:00 14/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 14/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Restless st: NotStopd t0: [13:00:00 14/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 14/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [15:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [15:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 14/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [16:00:00 14/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 14/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 14/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 14/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 14/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Restless st: NotStopd t0: [17:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Agitated st: NotStopd t0: [17:00:00 14/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [17:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 14/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 14/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [17:00:00 14/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [17:00:00 14/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Other st: NotStopd t0: [17:00:00 14/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 14/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [17:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 14/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [17:00:00 14/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 14/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 14/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 14/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [17:00:00 14/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 14/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [17:00:00 14/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 14/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 14/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [17:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 14/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Angry st: NotStopd t0: [17:00:00 14/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [17:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [17:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 6.75 vu: ml t0: [17:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [17:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml
t0: [17:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:30:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 14/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Agitated st: NotStopd t0: [17:30:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:30:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:30:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:30:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:30:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:30:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [17:30:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [17:30:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:30:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 14/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 0 vu: ml t0: [17:30:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [17:30:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 3.375 vu: ml t0: [17:30:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 50 vu: ml t0: [17:30:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 5 vu: ml t0: [17:30:00 14/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 0 vu: ml nb: 1
t0: [17:30:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/12/2010] dt: 24 id: Colloids Total el: 1 cu: CCU cg: RN cv: 100 ap: none
t0: [16:00:00 14/12/2010] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Mucoid st: NotStopd t0: [16:00:00 14/12/2010] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Negative st: NotStopd
t0: [23:00:00 14/12/2010] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward
t0: [15:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [17:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 40 u1: BPM st: NotStopd t0: [18:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [18:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [18:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 0 vu: ml t0: [18:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 50 vu: ml t0: [18:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 5 vu: ml t0: [18:00:00 14/12/2010] tf: [14:26:00 15/12/2010] dt: 1226 id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 5 vu: ml
t0: [18:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [19:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [19:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [19:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:05:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [19:05:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:05:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:05:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:05:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 67 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [19:05:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [19:05:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [19:05:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [19:05:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:05:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [19:05:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:05:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:05:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 14/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 14/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 14/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 14/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [20:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 14/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 14/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 14/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 14/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 14/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 14/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 14/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Other st: NotStopd t0: [20:00:00 14/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 14/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 14/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 14/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 14/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 14/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 14/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 14/12/2010] id: Airway Size el: 0 cu: CCU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 14/12/2010] id: Airway Type el: 0 cu: CCU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 14/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 14/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 14/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 14/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 14/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 14/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 14/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 14/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 14/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 14/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [20:00:00 14/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 14/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 14/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 14/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 14/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 14/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 14/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.3333 u1: Deg. C st: NotStopd t0: [20:00:00 14/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 93.8 u1: Deg. F st: NotStopd t0: [20:00:00 14/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 14/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 14/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd t0: [20:00:00 14/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Blanket v2: On st: NotStopd t0: [20:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 14/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 14/12/2010] tf: [13:15:00 15/12/2010] dt: 1035 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 6.1875 vu: ml t0: [20:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [20:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 20 vu: ml t0: [20:00:00 14/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 20 vu: ml
t0: [20:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 14/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [20:00:00 14/12/2010] id: Cuff Pressure-Airway el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 14/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 14/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 19 u1: L/min st: NotStopd t0: [20:00:00 14/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 14/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 14/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 14/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 14/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 14/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [20:00:00 14/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 14/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 14/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 14/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd
t0: [21:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [21:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [21:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 14/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 14/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.4444 u1: Deg. C st: NotStopd t0: [21:00:00 14/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94 u1: Deg. F st: NotStopd t0: [21:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 6.75 vu: ml t0: [21:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [21:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [21:00:00 14/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [21:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 200 ap: none
t0: [22:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [22:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [22:00:00 14/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [22:00:00 14/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 34.6667 u1: Deg. C st: NotStopd t0: [22:00:00 14/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 94.4 u1: Deg. F st: NotStopd t0: [22:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [22:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml t0: [22:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [22:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [22:00:00 14/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [22:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:50:00 14/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.5 rs: Final st: NotStopd t0: [21:50:00 14/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6.5 rs: Final st: NotStopd t0: [21:50:00 14/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31 u1: % rs: Final st: NotStopd t0: [21:50:00 14/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [21:50:00 14/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 71 rs: Final st: NotStopd t0: [21:50:00 14/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [21:50:00 14/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.5 rs: Final st: NotStopd
t0: [23:00:00 14/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 14/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 14/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 14/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 14/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 14/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 14/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 14/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 14/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [23:00:00 14/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [23:00:00 14/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 14/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 14/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml t0: [23:00:00 14/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [23:00:00 14/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [23:00:00 14/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [23:00:00 14/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/12/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 10 cv: 55 ap: none
t0: [00:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [00:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [00:00:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [00:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 10.125 vu: ml t0: [00:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [00:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [00:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [23:00:00 15/12/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: -1 cg: RN cv: 240 ap: none
t0: [00:00:00 15/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 15/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: RN v1: 8.0 mm st: NotStopd t0: [00:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 15/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 15/12/2010] id: Trach Size el: 0 cu: CCU cg: RN v1: #8 st: NotStopd t0: [00:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RN v1: Portex st: NotStopd t0: [00:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd
t0: [00:15:00 15/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [20:00:00 14/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [01:00:00 15/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [01:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [01:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [01:00:00 15/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [01:00:00 15/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 21.6 u1: L/min st: NotStopd t0: [01:00:00 15/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 15/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [01:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 94 u1: % st: NotStopd t0: [01:00:00 15/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [01:00:00 15/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 544 u1: ml/B st: NotStopd t0: [01:00:00 15/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [01:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [01:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [01:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 14/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Dampened st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:00:00 14/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 14/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 14/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 14/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [20:00:00 14/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 14/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 14/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [00:00:00 15/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 15/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [00:00:00 15/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 15/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [00:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 15/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [00:00:00 15/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [00:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [00:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Dampened st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 15/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Yellow st: NotStopd t0: [00:00:00 15/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 15/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 15/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 15/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 15/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 15/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 15/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 15/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 15/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 15/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 15/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 15/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 15/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [00:00:00 15/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 15/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 15/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [01:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [01:00:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [01:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [01:00:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [01:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [02:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 15/12/2010] id: Previous Weight el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [02:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [02:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [02:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [02:00:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [02:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [01:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.9 vu: ml t0: [01:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [01:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [01:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml t0: [02:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [02:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.3 vu: ml t0: [02:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [02:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [02:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [01:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/12/2010] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 15/12/2010] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 1206.29 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: IV Nutrition Total el: 1 cu: -1 cg: RN cv: 1500 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 3541.29 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: -1 cg: RN cv: 170 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 686 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: 2855.29 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 686 ap: none t0: [23:00:00 15/12/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 97021.7 ap: carryForward
tf: [03:00:00 16/12/2010] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
t0: [03:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [03:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [03:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [03:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [04:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [04:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [03:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [03:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [03:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [03:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml t0: [04:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [04:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [04:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [04:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [03:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 15/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [01:00:00 15/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [03:00:00 15/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [04:00:00 15/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [04:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 15/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 15/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 15/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [04:00:00 15/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 15/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 15/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [04:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 15/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [04:00:00 15/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [04:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [04:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None v2: Other/Remarks st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 15/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Yellow st: NotStopd t0: [04:00:00 15/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 15/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 15/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 15/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 15/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 15/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 15/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 15/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 15/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 15/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 15/12/2010] id: Trach Size el: 0 cu: CCU cg: RN v1: #8 st: NotStopd t0: [04:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RN v1: Portex st: NotStopd t0: [04:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 15/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd t0: [04:00:00 15/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [04:00:00 15/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 15/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 15/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 15/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 15/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [04:00:00 15/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 15/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 15/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [05:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [05:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [05:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [05:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [05:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [05:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/12/2010] dt: 24 id: Colloids Total el: 1 cu: -1 cg: RN cv: 50 ap: none
t0: [05:00:00 15/12/2010] id: RSBI (<100) el: 0 cu: CCU cg: 1341 v1: 82.1355 u1: units st: NotStopd t0: [05:00:00 15/12/2010] id: Cuff Leak el: 0 cu: CCU cg: 1341 v1: No st: NotStopd t0: [05:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: 1341 v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: 1341 v1: 35 u1: cmH2O st: NotStopd t0: [05:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: 1341 v1: 45 u1: BPM st: NotStopd t0: [05:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: 1341 v1: 8.0 mm st: NotStopd t0: [05:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: 1341 v1: Tracheostomy st: NotStopd t0: [05:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: 1341 v1: 7 st: NotStopd t0: [05:00:00 15/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: 1341 v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: 1341 v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 15/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: 1341 v1: 21.6 u1: L/min st: NotStopd t0: [05:00:00 15/12/2010] id: PEEP Set el: 0 cu: CCU cg: 1341 v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: 1341 v1: 20 st: NotStopd t0: [05:00:00 15/12/2010] id: Pressure Support el: 0 cu: CCU cg: 1341 v1: 10 u1: . st: NotStopd t0: [05:00:00 15/12/2010] id: RSBI (<200) el: 0 cu: CCU cg: 1341 v1: 82.1355 u1: units st: NotStopd t0: [05:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: 1341 v1: 38 u1: BPM st: NotStopd t0: [05:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: 1341 v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 15/12/2010] id: Spon RR (Mech.) el: 0 cu: CCU cg: 1341 v1: 40 u1: BPM st: NotStopd t0: [05:00:00 15/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: CCU cg: 1341 v1: 0.487 u1: L st: NotStopd t0: [05:00:00 15/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: 1341 v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 15/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: 1341 v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: 1341 v1: 565 u1: ml/B st: NotStopd t0: [05:00:00 15/12/2010] id: Trach Size el: 0 cu: CCU cg: 1341 v1: #8 st: NotStopd t0: [05:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: 1341 v1: Inflated st: NotStopd t0: [05:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: 1341 v1: Portex st: NotStopd t0: [05:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: 1341 v1: CPAP+PS st: NotStopd t0: [05:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: 1341 v1: Drager st: NotStopd
t0: [06:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [06:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [06:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [06:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [06:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 20.25 vu: ml t0: [06:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [06:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [06:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [06:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:19:00 15/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 95 u1: % rs: Final st: NotStopd
t0: [06:00:00 15/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.9 u1: % rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 76 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd t0: [06:19:00 15/12/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.0588 u1: ml/dl st: NotStopd
t0: [06:00:00 15/12/2010] id: BUN el: 0 cu: CCU cg: 140 v1: 117 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 128 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 73 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 116 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 877 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 117 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 128 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd
t0: [06:00:00 15/12/2010] id: PT el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 70.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 70.1 rs: Final st: NotStopd
t0: [06:00:00 15/12/2010] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 20.4 rs: Final st: NotStopd t0: [06:00:00 15/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 20.4 rs: Final st: NotStopd
t0: [07:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [07:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:30:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:30:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:30:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [07:30:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:30:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:30:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [07:30:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [07:30:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [07:30:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [07:30:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 15/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 15/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 15/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [08:00:00 15/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 15/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 15/12/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 15/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 15/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 15/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 15/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 15/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 15/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 15/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 15/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 15/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 15/12/2010] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 15/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 15/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/12/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 15/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 15/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 15/12/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 15/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 15/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 15/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/12/2010] id: ROM el: 0 cu: CCU cg: RN v1: Passive v2: Both Arms st: NotStopd t0: [08:00:00 15/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 15/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 15/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 15/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 15/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [08:00:00 15/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 15/12/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/12/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 15/12/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 15/12/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [08:00:00 15/12/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 15/12/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 7 u1: number st: NotStopd t0: [08:00:00 15/12/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [07:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:30:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [08:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [08:00:00 15/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 15/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 21.8 u1: L/min st: NotStopd t0: [08:00:00 15/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 15/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 39 u1: BPM st: NotStopd t0: [08:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 523 u1: ml/B st: NotStopd t0: [08:00:00 15/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 15/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [08:01:00 15/12/2010] id: GI#2 Tube PlaceCheck el: 0 cu: CCU cg: -1 st: D/C'd t0: [08:01:00 15/12/2010] id: WarmingDevice/Status el: 0 cu: CCU cg: -1 st: D/C'd
t0: [06:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [08:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [08:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 40 u1: BPM st: NotStopd t0: [08:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:30:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:30:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:30:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:30:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [08:30:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:30:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:30:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:30:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [08:30:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 41 u1: BPM st: NotStopd t0: [08:30:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [08:30:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 35.4375 vu: ml t0: [08:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 200 vu: ml t0: [08:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 20 vu: ml t0: [08:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 20 vu: ml
t0: [08:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:30:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:30:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:30:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:30:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd
t0: [08:49:00 15/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 1.92 rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [08:49:00 15/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.92 rs: Final st: NotStopd
t0: [09:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [09:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 44 u1: BPM st: NotStopd t0: [09:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [09:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 8.4375 vu: ml t0: [09:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [09:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [09:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 10 vu: ml
t0: [09:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [09:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 15/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 15/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 17 u1: . st: NotStopd t0: [09:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [09:30:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:30:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:30:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:30:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:30:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:30:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 65 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:30:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [09:30:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:30:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [09:30:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 7 u1: BPM st: NotStopd t0: [09:30:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [09:30:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:45:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:45:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:45:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:45:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [09:45:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:45:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [09:45:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:45:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [09:45:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [09:45:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:45:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [10:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [10:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:30:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:30:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:30:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [10:30:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:30:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [10:30:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:30:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [10:30:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:30:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [10:30:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 21.9375 vu: ml t0: [10:30:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml t0: [10:30:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 15 vu: ml t0: [10:30:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 15 vu: ml
t0: [10:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:40:00 15/12/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [10:40:00 15/12/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [10:40:00 15/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [10:40:00 15/12/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [10:40:00 15/12/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [10:40:00 15/12/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd
t0: [11:33:00 15/12/2010] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [12:00:00 15/12/2010] id: Cuff Leak el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [12:00:00 15/12/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:00:00 15/12/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 15/12/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [12:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 15/12/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [12:00:00 15/12/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 15/12/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 17 u1: . st: NotStopd t0: [12:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 886 u1: ml/B st: NotStopd t0: [12:00:00 15/12/2010] id: Trach Cuff/Fenestra el: 0 cu: CCU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 15/12/2010] id: Trach Size el: 0 cu: CCU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: CCU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: CCU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 15/12/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
id: Levophed-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
tf: [11:00:00 15/12/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 12 dn: 1 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm tf: [15:00:00 15/12/2010] pt: Unit Dose rt: IV fr: ASDIR m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm tf: [08:00:00 18/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml tf: [08:00:00 20/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 8 u1: mg m2: D5W v2: 250 u2: ml
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: TF Residual el: 1 cu: CCU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [12:00:00 15/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 132 rs: Manual st: NotStopd
t0: [08:00:00 15/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 15/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 15/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [10:00:00 15/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [11:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/12/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 15/12/2010] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 15/12/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 15/12/2010] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [12:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 15/12/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [12:00:00 15/12/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [12:00:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [12:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/12/2010] tf: [14:26:00 15/12/2010] dt: 926 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 0 vu: ml nb: 1 t0: [23:00:00 14/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 100 vu: ml t0: [00:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 27 vu: ml t0: [04:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 36 vu: ml t0: [08:00:00 15/12/2010] tf: [14:26:00 15/12/2010] dt: 386 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 128 vo: 10 vu: ml t0: [08:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 36 vu: ml t0: [12:00:00 15/12/2010] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 128 vo: 15 vu: ml t0: [12:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 36 vu: ml t0: [12:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 25.3125 vu: ml t0: [12:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 150 vu: ml t0: [12:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 15 vu: ml t0: [12:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 15 vu: ml
t0: [11:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:45:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:45:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:45:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:45:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:45:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:45:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [12:45:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:45:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:45:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:45:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 118 u1: kg st: NotStopd t0: [12:45:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:45:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:45:00 15/12/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:45:00 15/12/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:45:00 15/12/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:45:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 15/12/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 375 vu: ml nb: 1
t0: [12:45:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:45:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/12/2010] dt: 24 id: Blood Products Total el: 1 cu: -1 cg: RN cv: 375 ap: none
t0: [13:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [13:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 9 vu: ml t0: [13:00:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 16.875 vu: ml t0: [13:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 10 vu: ml t0: [13:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 20 vu: ml
t0: [13:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd
t0: [13:15:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:15:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:15:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:15:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:15:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:15:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [13:15:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:15:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:15:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:15:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:15:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:15:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 2.25 vu: ml nb: 1 t0: [13:15:00 15/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: CCU cg: RN ai: 115 vo: 4.21875 vu: ml st: Stopped t0: [13:15:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 25 vu: ml t0: [13:15:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 0 vu: ml nb: 1 t0: [13:15:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 2.5 vu: ml t0: [13:15:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 5 vu: ml
t0: [13:15:00 15/12/2010] tf: [14:26:00 15/12/2010] dt: 71 id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0503704 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:15:00 15/12/2010] id: Dopamine el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [13:00:00 15/12/2010] id: Previous Weight el: 0 cu: CCU cg: CoWker v1: 117 u1: kg st: NotStopd t0: [13:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: CoWker v1: 117 u1: kg st: NotStopd t0: [13:00:00 15/12/2010] id: BSA - English el: 0 cu: CCU cg: CoWker v1: 1.60616 u1: m2 st: NotStopd t0: [13:00:00 15/12/2010] id: BSA - Metric el: 0 cu: CCU cg: CoWker v1: 1.86527 u1: m2 st: NotStopd t0: [13:00:00 15/12/2010] id: Weight Change el: 0 cu: CCU cg: CoWker v1: 0 u1: kg st: NotStopd t0: [13:00:00 15/12/2010] id: Daily Weight el: 0 cu: CCU cg: CoWker v1: 117 u1: kg st: NotStopd t0: [13:15:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: CoWker v1: 117 u1: kg st: NotStopd
t0: [13:15:00 15/12/2010] id: CVP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd t0: [14:00:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 75 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [14:00:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 117 u1: kg st: NotStopd t0: [14:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 6.75 vu: ml t0: [14:00:00 15/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: -1 vo: 75 vu: ml t0: [14:00:00 15/12/2010] tf: [14:26:00 15/12/2010] dt: 26 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 12.75 vu: ml t0: [14:00:00 15/12/2010] id: D5RL 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 216 vo: 7.5 vu: ml t0: [14:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: CCU cg: RN ai: 227 vo: 15 vu: ml
t0: [14:00:00 15/12/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 15/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [08:00:00 15/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [12:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 15/12/2010] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 15/12/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: TPN st: NotStopd t0: [12:00:00 15/12/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/12/2010] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 15/12/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 15/12/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 15/12/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 15/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 15/12/2010] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 15/12/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 15/12/2010] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [12:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/12/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Ascites st: NotStopd t0: [12:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/12/2010] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/12/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/12/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [12:00:00 15/12/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 15/12/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 15/12/2010] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 15/12/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/12/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/12/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 15/12/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 15/12/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/12/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 15/12/2010] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 15/12/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/12/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 15/12/2010] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/12/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/12/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/12/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/12/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 15/12/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/12/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/12/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 15/12/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 15/12/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [12:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 15/12/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [12:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 15/12/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/12/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/12/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/12/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [14:15:00 15/12/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:15:00 15/12/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 15/12/2010] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:15:00 15/12/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:15:00 15/12/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:15:00 15/12/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:15:00 15/12/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: AV Paced st: NotStopd t0: [14:15:00 15/12/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:15:00 15/12/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:15:00 15/12/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:15:00 15/12/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 117 u1: kg st: NotStopd t0: [14:15:00 15/12/2010] id: Procedures el: 0 cu: CCU cg: RN st: NotStopd t0: [14:15:00 15/12/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:15:00 15/12/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:15:00 15/12/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 15/12/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 15/12/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [17:05:00 31/12/2010] dt: 23197 cu: C-SICU di: No Disch Status
t0: [15:00:00 15/12/2010] id: GI Guaiac/ph el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [15:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [15:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 15/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [15:00:00 15/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [15:00:00 15/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 15/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [15:00:00 15/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [15:00:00 15/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [15:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [15:00:00 15/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [15:00:00 15/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 15/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 15/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Ascites st: NotStopd t0: [15:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 15/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 15/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 15/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [15:00:00 15/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [15:00:00 15/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 15/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [15:00:00 15/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [15:00:00 15/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [15:00:00 15/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 15/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 15/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:00:00 15/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 15/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 15/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 15/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [15:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [15:00:00 15/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 15/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 15/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 15/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 15/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [15:00:00 15/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 15/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 15/12/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 15/12/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 15/12/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 15/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 15/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 15/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [15:00:00 15/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [15:00:00 15/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [15:00:00 15/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [15:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 15/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [15:00:00 15/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 15/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 15/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [15:00:00 15/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 15/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 15/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 15/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [15:00:00 15/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [15:00:00 15/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [15:00:00 15/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [15:00:00 15/12/2010] tf: [19:00:00 21/12/2010] dt: 8880 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [15:00:00 15/12/2010] tf: [17:05:00 31/12/2010] dt: 23165 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.75 vu: ml
t0: [15:00:00 15/12/2010] tf: [17:05:00 31/12/2010] dt: 23165 id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 15/12/2010] tf: [18:00:00 21/12/2010] dt: 8820 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [16:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [16:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.875 vu: ml
t0: [16:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 15/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 15/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:00:00 15/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 15/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [16:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 15/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 15/12/2010] id: Peak Flow el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/m st: NotStopd t0: [16:00:00 15/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 17 u1: . st: NotStopd t0: [16:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 776 u1: ml/B st: NotStopd t0: [16:00:00 15/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 15/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 15/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 15/12/2010] id: GU Cath Insert Date el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [17:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [17:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [17:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [17:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.75 vu: ml
t0: [17:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [23:00:00 15/12/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 250 ap: none
t0: [15:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd
t0: [17:00:00 15/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.2 u1: % rs: Final st: NotStopd
t0: [15:00:00 15/12/2010] tf: [16:00:00 16/12/2010] dt: 1500 id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [16:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [17:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [18:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 15/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 135 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 15/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [18:00:00 15/12/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 15/12/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/12/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 15/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 15/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [18:00:00 15/12/2010] tf: [10:00:00 16/12/2010] dt: 960 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [18:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.75 vu: ml t0: [18:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [18:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:00:00 15/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 15/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 15/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 15/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 15/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 15/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 15/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 15/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 15/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 15/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [20:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 15/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 15/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 15/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 15/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 15/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 15/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 15/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 15/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 15/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 15/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [20:00:00 15/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 15/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [20:00:00 15/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 15/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 15/12/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 15/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 15/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 15/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 15/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 15/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 15/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 15/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 15/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 15/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 15/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 540 vu: ml t0: [20:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 20 vu: ml
t0: [20:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 15/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 15/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 15/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 15/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 7 st: NotStopd t0: [20:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 15/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [20:00:00 15/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 15/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 17 u1: . st: NotStopd t0: [20:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [20:00:00 15/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 15/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 15/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 15/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 4 v2: Combivent st: NotStopd
t0: [21:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 15/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 15/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [21:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 15/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [21:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 15/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [21:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 27 vu: ml t0: [21:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [21:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [21:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 15/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 15/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [22:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 15/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [22:00:00 15/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 15/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 15/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 15/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 15/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 15/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 15/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 15/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [22:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 15/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 15/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [22:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml nb: 1 t0: [22:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [22:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: 3161 cv: 2300 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: 3161 cv: 330 ap: none
t0: [23:00:00 15/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Peak Flow el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Ventilator No. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 15/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [21:00:00 15/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [21:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [21:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [21:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [21:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [21:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [21:00:00 15/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [21:00:00 15/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [22:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [22:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 15/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 15/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 15/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 15/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 15/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 15/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 15/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 15/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [23:00:00 15/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [23:00:00 15/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [23:00:00 15/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 15/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 15/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 15/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [23:00:00 15/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [23:00:00 15/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [23:00:00 15/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 15/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 15/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 15/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 15/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 15/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [23:00:00 15/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 15/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 15/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 15/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 15/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 15/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [23:00:00 15/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 15/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 15/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [23:00:00 15/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [23:00:00 15/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [23:00:00 15/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: 3161 pv: 120 cv: 120 ap: none t0: [23:00:00 15/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: 3161 pv: -67.375 cv: -67.375 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: 3161 pv: 42.625 cv: 2669.67 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: 3161 pv: 52.625 cv: 6184.67 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: 3161 pv: 10 cv: 260 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: 3161 pv: 120 cv: 1676 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: 3161 pv: -67.375 cv: 4508.67 ap: none t0: [23:00:00 15/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: 3161 pv: 120 cv: 1676 ap: none t0: [23:00:00 15/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: 3161 pv: -67.375 cv: 98675 ap: carryForward
t0: [23:00:00 15/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [23:00:00 15/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 15/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [23:00:00 15/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:00:00 15/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:00:00 15/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [23:00:00 15/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [23:00:00 15/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:00:00 15/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [23:00:00 15/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 15/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 17 u1: . st: NotStopd t0: [23:00:00 15/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [23:00:00 15/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 950 u1: ml/B st: NotStopd t0: [23:00:00 15/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:00:00 15/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [23:00:00 15/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [23:00:00 15/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [23:00:00 15/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 15/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [00:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 15/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [00:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 16/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 16/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 16/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 16/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 16/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 16/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 16/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [00:00:00 16/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [00:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 16/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 16/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [00:00:00 16/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [00:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/12/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 16/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 16/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 16/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 16/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [00:00:00 16/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [00:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [00:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [22:00:00 15/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 15/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [00:00:00 16/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [00:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 16/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [00:00:00 16/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 16/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 16/12/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 16/12/2010] id: Restraint Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [00:00:00 16/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 104 rs: Manual st: NotStopd t0: [01:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [01:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [01:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [01:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [01:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [01:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [01:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [01:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [01:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [01:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [01:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [01:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 400 ap: none
t0: [02:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [02:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [02:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [02:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [02:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [02:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 16/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 16/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [02:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [02:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [02:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 16/12/2010] id: PressureReduceDevice el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [03:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [03:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [03:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [03:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [03:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [03:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [03:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [03:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:30:00 16/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:30:00 16/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [03:30:00 16/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:30:00 16/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [03:30:00 16/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [03:30:00 16/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [23:00:00 15/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:00:00 16/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 16/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 16/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 16/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [04:00:00 16/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 16/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [04:00:00 16/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 16/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 17 u1: . st: NotStopd t0: [04:00:00 16/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 16/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 16/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [04:00:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 16/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 16/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 16/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 16/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [03:20:00 16/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29.8 u1: % rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 7.2 rs: Final st: NotStopd
t0: [03:20:00 16/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 80.7 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 80.7 rs: Final st: NotStopd
t0: [03:20:00 16/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 88 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 879 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 88 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [03:20:00 16/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.6 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.6 rs: Final st: NotStopd
t0: [03:00:00 16/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 16/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 16/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [04:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 16/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 16/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 16/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 16/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 16/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [04:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 16/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [04:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 16/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 16/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 16/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 16/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 16/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [04:00:00 16/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 16/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 16/12/2010] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 16/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [04:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [04:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [04:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [04:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:20:00 16/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:20:00 16/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd
t0: [04:00:00 16/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 16/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [05:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [05:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [05:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [05:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [05:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [05:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [05:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [05:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [06:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [06:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: Bleeding st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [06:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [06:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [06:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 16/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 16/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [05:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [05:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml t0: [06:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [06:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [06:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 10 vu: ml
t0: [05:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 16/12/2010] id: Neg Insp Force(>-25) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 16/12/2010] id: Vital Cap (>1.0)L el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [06:00:00 16/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 101 rs: Manual st: NotStopd
t0: [07:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [07:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 16/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [08:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/12/2010] id: Extubation Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [08:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 16/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 16/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 16/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [08:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [08:00:00 16/12/2010] id: Reason For Restraint el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 16/12/2010] id: Restraint Location el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 16/12/2010] id: Restraint Type el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 16/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [08:00:00 16/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [08:00:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [08:00:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [08:00:00 16/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [08:00:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [08:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 40.5 vu: ml t0: [08:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 20 vu: ml
t0: [08:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:08:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:08:00 16/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:08:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:08:00 16/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:08:00 16/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:08:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:08:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:08:00 16/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:08:00 16/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:08:00 16/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:08:00 16/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [08:08:00 16/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:08:00 16/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:08:00 16/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [08:08:00 16/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [08:08:00 16/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:08:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:08:00 16/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 966 u1: ml/B st: NotStopd t0: [08:08:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:08:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:08:00 16/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:08:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:08:00 16/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:08:00 16/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 16/12/2010] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 16/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 16/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 16/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 16/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 16/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 16/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [08:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 16/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 16/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 16/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [08:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 16/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 16/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Insp Wheeze st: NotStopd t0: [08:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 16/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd t0: [08:00:00 16/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 16/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 16/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 16/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 16/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 16/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 16/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [09:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 16/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 16/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [09:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN
t0: [08:00:00 16/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 16/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 16/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 16/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [09:00:00 16/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [10:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 16/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 16/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [10:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [10:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [10:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml st: Stopped t0: [10:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [10:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 40 vu: ml
t0: [10:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:01:00 16/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [10:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 16/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [10:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [10:45:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [10:45:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd
t0: [10:45:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 16/12/2010] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 16/12/2010] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [08:00:00 16/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [08:00:00 16/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 16/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 16/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 16/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 16/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [11:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 16/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [12:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 16/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: Positional st: NotStopd t0: [12:00:00 16/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 16/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 16/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 16/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 16/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 16/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [12:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 16/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 16/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [12:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [12:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 16/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 16/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 16/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 16/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 16/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 16/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [12:00:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [12:00:00 16/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RN v1: Inflated st: NotStopd t0: [12:00:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [12:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd t0: [12:00:00 16/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 49.7812 vu: ml t0: [12:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 40 vu: ml
t0: [11:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 16/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 16/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 16/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 16/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 16/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 16/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [12:00:00 16/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 16/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 16/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 16/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 16/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 16/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 543 u1: ml/B st: NotStopd t0: [12:00:00 16/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 16/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 16/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [13:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [14:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [14:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 50.625 vu: ml t0: [14:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 60 vu: ml
t0: [13:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 16/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 16/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [14:00:00 16/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 16/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 16/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd
t0: [12:00:00 16/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:30:00 16/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [15:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [15:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 16/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 16/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [16:00:00 16/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:00:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 16/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 16/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 16/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 16/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 16/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 16/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 16/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [16:00:00 16/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 16/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 16/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [16:00:00 16/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:00:00 16/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 16/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 955 u1: ml/B st: NotStopd t0: [16:00:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 16/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 16/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 16/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 16/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 16/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [16:00:00 16/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 16/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 16/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 16/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 16/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 16/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 16/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 16/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#3 D/C Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 7 st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 16/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 10 v2: 15 st: NotStopd t0: [16:00:00 16/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 16/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [16:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 16/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 16/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 16/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 16/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 16/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 16/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [16:00:00 16/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 16/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [16:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 16/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 16/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 16/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:00:00 16/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [16:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [16:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd t0: [16:00:00 16/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:00:00 16/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 16/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 16/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 16/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 16/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 16/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 16/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [17:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [17:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml
t0: [16:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
io: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ra: 100 ru: ml/hr io: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ra: 65 ru: ml/hr
t0: [17:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: -1 ai: 227 vo: 0 st: D/C'd
id: Respalor el: 1 cu: C-SICU cg: RN io: Respalor Tube Feeding du: str rt: Gastric/Feeding Tube id: TPN w/Lipids el: 1 cu: C-SICU cg: RN io: TPN w/Lipids IV Nutrition du: ml rt: Intravenous Push
t0: [16:00:00 16/12/2010] id: Peptamen Tube Feeding el: 1 cu: C-SICU cg: RN ai: 227 vo: 60 vu: ml st: Stopped t0: [16:00:00 16/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 0 vu: ml t0: [17:00:00 16/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 0 vu: ml
t0: [18:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [18:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [17:00:00 16/12/2010] tf: [07:00:00 17/12/2010] dt: 840 id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [18:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml t0: [18:00:00 16/12/2010] tf: [17:05:00 31/12/2010] dt: 21545 id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [18:00:00 16/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [18:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [18:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [18:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 16/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [18:00:00 16/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 16/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [18:00:00 16/12/2010] id: Stool Guaiac el: 0 cu: C-SICU cg: RN v1: Positive st: NotStopd t0: [18:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [18:00:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [18:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 16/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 16/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [19:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [19:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [19:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:00:00 16/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 16/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 16/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 16/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 16/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 16/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 16/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 16/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 16/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 16/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 16/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.5 u1: L/min st: NotStopd t0: [20:00:00 16/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 16/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 16/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [20:00:00 16/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 16/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 16/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 16/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 16/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 870 u1: ml/B st: NotStopd t0: [20:00:00 16/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 16/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 16/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 16/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 16/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 16/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 16/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 16/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 16/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 16/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 16/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 16/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 16/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 16/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 16/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 16/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 16/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 16/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 16/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 16/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 16/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 16/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 16/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 16/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 16/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 16/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [20:00:00 16/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [20:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 16/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 16/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 16/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd t0: [20:00:00 16/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml t0: [20:00:00 16/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [20:00:00 16/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [20:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [21:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [21:00:00 16/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [21:00:00 16/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [21:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [21:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [22:00:00 16/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 16/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 16/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [22:00:00 16/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [22:00:00 16/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 16/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [22:00:00 16/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 16/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 16/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 16/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [22:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 16/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [22:00:00 16/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 16/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [22:00:00 16/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 16/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [22:00:00 16/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [22:00:00 16/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 16/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 16/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd
t0: [22:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [22:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [22:00:00 16/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [22:00:00 16/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [22:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [23:00:00 16/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 16/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 16/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 16/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 16/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 16/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [23:00:00 16/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 16/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 16/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 16/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [23:00:00 16/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [23:00:00 16/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [23:00:00 16/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [23:00:00 16/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 16/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 16/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 137.625 cv: 137.625 ap: none t0: [23:00:00 16/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 32.625 cv: 1628.66 ap: none t0: [23:00:00 16/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 600 ap: none t0: [23:00:00 16/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 197.625 cv: 3373.66 ap: none t0: [23:00:00 16/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 65 cv: 745 ap: none t0: [23:00:00 16/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 60 cv: 2540 ap: none t0: [23:00:00 16/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 137.625 cv: 833.656 ap: carryForward t0: [23:00:00 16/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 60 cv: 2540 ap: carryForward t0: [23:00:00 16/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 137.625 cv: 99508.7 ap: carryForward
t0: [00:00:00 17/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [00:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [00:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml t0: [00:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [00:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [00:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 17/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:00:00 17/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 17/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 17/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 17/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 17/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [00:00:00 17/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 17/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 17/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 17/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.7 u1: L/min st: NotStopd t0: [00:00:00 17/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 17/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:00:00 17/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 17/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 17/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [00:00:00 17/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 17/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 17/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 17/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 17/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 17/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 17/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [01:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 17/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [02:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [02:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml t0: [02:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [02:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [01:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 330 cv: 330 ap: none t0: [23:00:00 17/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -37.75 cv: -37.75 ap: none t0: [23:00:00 17/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 127.25 cv: 1847.35 ap: none t0: [23:00:00 17/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 2400 ap: none t0: [23:00:00 17/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 292.25 cv: 5917.35 ap: none t0: [23:00:00 17/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 65 cv: 1300 ap: none t0: [23:00:00 17/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 80 cv: 2030 ap: none t0: [23:00:00 17/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -37.75 cv: 2937.35 ap: carryForward t0: [23:00:00 17/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 330 cv: 2980 ap: carryForward t0: [23:00:00 17/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -37.75 cv: 102446 ap: carryForward
t0: [01:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 17/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 17/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 17/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 17/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 17/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 17/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 17/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 17/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 17/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [04:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 17/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 17/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [04:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:06:00 17/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [04:06:00 17/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [04:06:00 17/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:06:00 17/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [04:06:00 17/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 149 u1: mmHg rs: Final st: NotStopd t0: [04:06:00 17/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd
t0: [04:00:00 17/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:00:00 17/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 17/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 17/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 17/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 17/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 17/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [04:00:00 17/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 17/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 17/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 17/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.2 u1: L/min st: NotStopd t0: [04:00:00 17/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 17/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:00:00 17/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 17/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 17/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 890 u1: ml/B st: NotStopd t0: [04:00:00 17/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 17/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 17/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 17/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 17/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 17/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [03:03:00 17/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.2 u1: % rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 7.7 rs: Final st: NotStopd
t0: [03:03:00 17/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 91.4 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 91.4 rs: Final st: NotStopd
t0: [01:00:00 17/12/2010] tf: [14:00:00 17/12/2010] dt: 780 id: Gastric Emesis el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [03:03:00 17/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.8 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 88 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 155 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1039 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [03:03:00 17/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20.8 rs: Final st: NotStopd
t0: [05:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd
t0: [05:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 17/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [06:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [06:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 17/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 156 rs: Manual st: NotStopd t0: [06:00:00 17/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [06:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 35 vu: ml t0: [06:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 94.5 vu: ml t0: [06:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 400 vu: ml t0: [06:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 260 vu: ml
t0: [06:00:00 17/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/12/2010] id: trach care el: 0 cu: C-SICU cg: RN v1: done
t0: [08:00:00 17/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 17/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 17/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 17/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 17/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 17/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 17/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 17/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 17/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [08:00:00 17/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 17/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 15 u1: . st: NotStopd t0: [08:00:00 17/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 17/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 17/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 861 u1: ml/B st: NotStopd t0: [08:00:00 17/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 17/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 17/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 17/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 17/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 17/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 17/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RN v1: Positional st: NotStopd t0: [07:00:00 17/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [07:00:00 17/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 17/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 17/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 17/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [07:00:00 17/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 17/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Culture/remarks st: NotStopd t0: [07:00:00 17/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [07:00:00 17/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 17/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [07:00:00 17/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd t0: [08:00:00 17/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 17/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [08:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 17/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 17/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 17/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 17/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 17/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 17/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 17/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 17/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 17/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 17/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 17/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 17/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 17/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 17/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 17/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 17/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 17/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 17/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 17/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 17/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 17/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 17/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 17/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 17/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 17/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [08:00:00 17/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 17/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [08:00:00 17/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 17/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 17/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 17/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [08:00:00 17/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [08:00:00 17/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 17/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Angry st: NotStopd t0: [08:00:00 17/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 17/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 17/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 17/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 17/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 17/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 17/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml st: Stopped t0: [08:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 16 vu: ml t0: [08:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml t0: [08:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [08:00:00 17/12/2010] tf: [17:05:00 31/12/2010] dt: 20705 id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 400 vu: ml
t0: [08:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [15:00:00 17/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [09:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd
t0: [09:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.0651852 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:39:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd
t0: [03:03:00 17/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 2.4 u1: ng rs: Final st: NotStopd
pt: TPN tf: [09:00:00 24/12/2010] pt: Unit Dose rt: IV fr: Q6H fs: 10, 16, 22, 4 dn: 4 m1: Metoclopramide v1: 10 u1: mg
t0: [09:00:00 17/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd t0: [10:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [10:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [10:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [10:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 17/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd
t0: [10:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 16 vu: ml t0: [10:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 45.625 vu: ml t0: [10:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml
t0: [10:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.0562963 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 17/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 17/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 17/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 17/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 17/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 17/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 17/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 17/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [12:00:00 17/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 17/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 17/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 17/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 17/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 17/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 17/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 17/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 17/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 17/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 17/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 17/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 17/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 17/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 17/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 17/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 17/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 17/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 17/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [12:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 17/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 17/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 17/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 17/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [12:00:00 17/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 17/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 17/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 17/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 17/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 17/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 17/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 117 u1: kg st: NotStopd t0: [12:00:00 17/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: Both Arms st: NotStopd t0: [12:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [12:00:00 17/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 17/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 17/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [12:00:00 17/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [12:00:00 17/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 17/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Logroll st: NotStopd t0: [12:00:00 17/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Cooperative st: NotStopd
t0: [12:00:00 17/12/2010] tf: [12:00:00 23/12/2010] dt: 8640 id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 0 vu: ml nb: 1 t0: [12:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 16 vu: ml t0: [12:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 38 vu: ml t0: [12:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [12:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [12:00:00 17/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [12:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.0518519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:57:00 17/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [11:57:00 17/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [11:57:00 17/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 86.3 rs: Final st: NotStopd t0: [11:57:00 17/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [11:57:00 17/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [11:57:00 17/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 86.3 rs: Final st: NotStopd
t0: [14:00:00 17/12/2010] id: Gastric Emesis el: 1 cu: C-SICU cg: -1 vo: 0 st: D/C'd
t0: [11:00:00 17/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [14:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [14:00:00 17/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [14:00:00 17/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [14:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 17/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [14:00:00 17/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 17/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 17/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 17/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [14:00:00 17/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 17/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 17/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [14:00:00 17/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 17/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 17/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 17/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 17/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 17/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 17/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [14:00:00 17/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 17/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 17/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 17/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 17/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 17/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [14:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 17/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 17/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [14:00:00 17/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 17/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 17/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 16 vu: ml t0: [14:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 35 vu: ml t0: [14:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [14:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [14:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.0533333 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:27:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 126 rs: Manual st: NotStopd t0: [14:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd t0: [16:00:00 17/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 17/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 17/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 17/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 17/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [16:00:00 17/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 17/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 17/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 17/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 17/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 17/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 17/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [16:00:00 17/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 17/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 17/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd
t0: [16:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7.85 vu: ml t0: [16:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 36 vu: ml t0: [16:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [16:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [16:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.0533333 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [18:00:00 21/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [16:00:00 17/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: Positional st: NotStopd t0: [16:00:00 17/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 17/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 17/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 17/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 17/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 17/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 17/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [16:00:00 17/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 17/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [16:00:00 17/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:00:00 17/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 17/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 998 u1: ml/B st: NotStopd t0: [16:00:00 17/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 17/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 17/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 17/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 17/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 17/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 17/12/2010] id: NBP el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 17/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:00:00 17/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [17:00:00 17/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [18:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Lower Rails Down st: NotStopd t0: [18:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 17/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 17/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [18:00:00 17/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [18:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [18:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [18:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 36 vu: ml t0: [18:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [18:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [18:00:00 17/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [18:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 17/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 17/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 17/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 17/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 17/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 17/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 17/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 17/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 17/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 17/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 17/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 17/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 17/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 17/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 17/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 17/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 17/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 17/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 17/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 17/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 17/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 17/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 17/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 17/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 17/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 17/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 17/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 17/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 17/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 17/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [20:00:00 17/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 17/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 17/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 17/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd t0: [20:00:00 17/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 17/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 17/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 17/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 17/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 17/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 17/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 17/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 40.5 vu: ml t0: [20:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [20:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [20:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 16/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RRT u1: kg st: NotStopd t0: [20:25:00 17/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [20:25:00 17/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:25:00 17/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:25:00 17/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:25:00 17/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:25:00 17/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:25:00 17/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:25:00 17/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:25:00 17/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:25:00 17/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:25:00 17/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [20:25:00 17/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:25:00 17/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:25:00 17/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:25:00 17/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:25:00 17/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:25:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:25:00 17/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [20:25:00 17/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:25:00 17/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:25:00 17/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:25:00 17/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:25:00 17/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:25:00 17/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 17/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RRT cv: 0 ap: carryForward
t0: [21:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg st: NotStopd t0: [21:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 17/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 17/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 17/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 17/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [22:00:00 17/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [22:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [22:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 40.5 vu: ml t0: [22:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [22:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [22:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 370 ap: none
t0: [23:00:00 17/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 17/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 17/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 17/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 17/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 17/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 17/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 17/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 17/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 18/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 18/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 18/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 18/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 18/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 18/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 18/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 18/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [00:00:00 18/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 18/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 18/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 18/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [00:00:00 18/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 18/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 18/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 18/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 18/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 18/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 18/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [00:00:00 18/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 18/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 18/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd t0: [00:00:00 18/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 17/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 17/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 20.25 vu: ml t0: [23:00:00 17/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [23:00:00 17/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [23:00:00 17/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [00:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 18/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 27 vu: ml t0: [00:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [00:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [23:00:00 17/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 17/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 250 cv: 950 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 280 ap: none
t0: [00:15:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [00:15:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:15:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:15:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:15:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:15:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:15:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:15:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:15:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:15:00 18/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:15:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:15:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.3 u1: L/min st: NotStopd t0: [00:15:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:15:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [00:15:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:15:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 18/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 950 u1: ml/B st: NotStopd t0: [00:15:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:15:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:15:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:15:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:15:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:15:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [01:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 127 rs: Manual st: NotStopd t0: [01:00:00 18/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 18/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [02:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 18/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 18/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:00:00 18/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [02:00:00 18/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 74.25 vu: ml t0: [02:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [02:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [02:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 180 cv: 180 ap: none t0: [23:00:00 18/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -77.625 cv: -77.625 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 37.375 cv: 1371.31 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 1900 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 102.375 cv: 5311.31 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 65 cv: 1560 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 180 cv: 1915 ap: none t0: [23:00:00 18/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -77.625 cv: 2846.31 ap: carryForward t0: [23:00:00 18/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 180 cv: 2465 ap: carryForward t0: [23:00:00 18/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -77.625 cv: 105292 ap: carryForward
t0: [23:00:00 17/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN st: NotStopd t0: [01:00:00 18/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN st: NotStopd
t0: [02:52:00 18/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [02:52:00 18/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [02:52:00 18/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:52:00 18/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [02:52:00 18/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [02:52:00 18/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd
t0: [03:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [03:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [03:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [03:00:00 18/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [03:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 18/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [03:00:00 18/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [03:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [03:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [03:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [03:00:00 18/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [03:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 18/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 18/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [03:00:00 18/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [03:00:00 18/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [03:00:00 18/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [03:00:00 18/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [03:00:00 18/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [03:00:00 18/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 18/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [03:00:00 18/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [03:00:00 18/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 18/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [03:00:00 18/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [03:00:00 18/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 18/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 18/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [03:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [03:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 18/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [03:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [03:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 18/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 18/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [03:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [03:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 18/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 18/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 18/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [03:00:00 18/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [03:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 18/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 18/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [03:00:00 18/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 18/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [03:00:00 18/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 18/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [03:00:00 18/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [03:00:00 18/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [03:00:00 18/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [03:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:53:00 18/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.9 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.9 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.9 rs: Final st: NotStopd
t0: [02:53:00 18/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 60.2 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 60.2 rs: Final st: NotStopd
t0: [02:53:00 18/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 167 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1061 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 331 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 132 rs: Final st: NotStopd
t0: [02:53:00 18/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18.8 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18.8 rs: Final st: NotStopd
t0: [02:53:00 18/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 73 rs: Final st: NotStopd
t0: [02:00:00 18/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 10 v2: 17 st: NotStopd t0: [04:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 18/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 18/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [04:00:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [04:00:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [04:00:00 18/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 81 vu: ml t0: [04:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [04:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [04:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:45:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [04:45:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:45:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:45:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:45:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:45:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:45:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:45:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:45:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:45:00 18/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:45:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:45:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.1 u1: L/min st: NotStopd t0: [04:45:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:45:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:45:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:45:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:45:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:45:00 18/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 890 u1: ml/B st: NotStopd t0: [04:45:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:45:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:45:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:45:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:45:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:45:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Danger Agitation st: NotStopd t0: [01:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [01:00:00 18/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [03:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [05:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [05:00:00 18/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:45:00 18/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [06:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [06:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [06:00:00 18/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 18/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 18/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [06:00:00 18/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 18/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [06:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 18/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [06:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 18/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [07:00:00 18/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [07:00:00 18/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 18/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 18/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 18/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [07:00:00 18/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 18/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [07:00:00 18/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 18/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Rash st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [07:00:00 18/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [07:00:00 18/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [07:00:00 18/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [07:00:00 18/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [07:00:00 18/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 18/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [07:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [07:00:00 18/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 18/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [07:00:00 18/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 18/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [07:00:00 18/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 18/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Apathy st: NotStopd
t0: [06:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [06:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 200 vu: ml t0: [06:00:00 18/12/2010] tf: [17:05:00 31/12/2010] dt: 19385 id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 81 vu: ml t0: [06:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [07:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [07:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [07:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 40.5 vu: ml t0: [07:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [07:00:00 18/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [02:53:00 18/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [02:53:00 18/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd
t0: [07:30:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:30:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:30:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:30:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [07:30:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:30:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:30:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:30:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:30:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:30:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:30:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:30:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [06:30:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:30:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:30:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 18/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [07:00:00 18/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [06:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:30:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [08:00:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 18/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.4 u1: L/min st: NotStopd t0: [08:00:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 18/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [08:00:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 18/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 18/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 18/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 18/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 18/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 18/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 18/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 18/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 18/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 18/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 18/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [08:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 18/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 18/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 18/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 18/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 18/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 18/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 18/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 18/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 18/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 18/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 18/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [08:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [08:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 64.125 vu: ml t0: [08:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [08:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 18/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thin st: NotStopd t0: [09:00:00 18/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [09:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 67.5 vu: ml t0: [09:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [09:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 18/12/2010] pt: TPN tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [21:00:00 31/12/2010] pt: Unit Dose rt: IV fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Albumin 25% (12.5gm) v1: 12.5 u1: gm
id: Levophed-k el: 101 cu: C-SICU cg: RN io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips am: 8 du: mcgkgmin rt: IV Drip id: Insulin el: 100 cu: C-SICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ra: 33.75 ru: ml/hr
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push id: Albumin 25% el: 1 cu: C-SICU cg: RN io: Albumin 25% Tube Feeding du: ml rt: Intravenous Push
t0: [09:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 167 rs: Manual st: NotStopd t0: [10:00:00 18/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 18/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [10:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 149 rs: Manual st: NotStopd
t0: [09:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml nb: 1 t0: [10:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [10:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [09:00:00 18/12/2010] tf: [12:00:00 21/12/2010] dt: 4500 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 18/12/2010] tf: [22:00:00 18/12/2010] dt: 720 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [10:00:00 18/12/2010] tf: [03:00:00 30/12/2010] dt: 16860 id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: RN ai: -1 vo: 50 vu: ml t0: [10:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.8 vu: ml
t0: [10:31:00 18/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [10:31:00 18/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [10:31:00 18/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.9 rs: Final st: NotStopd
t0: [11:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 148 rs: Manual st: NotStopd
t0: [11:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [11:00:00 18/12/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: RN ai: -1 vo: 50 vu: ml t0: [11:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [11:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.75 vu: ml t0: [11:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [10:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [12:00:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 18/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.6 u1: L/min st: NotStopd t0: [12:00:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 18/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [12:00:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [12:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.75 vu: ml t0: [12:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [12:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 18/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 18/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 18/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [12:00:00 18/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 18/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: Both Arms st: NotStopd t0: [12:00:00 18/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 18/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 18/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 18/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 18/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 18/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 18/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [23:00:00 18/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [12:00:00 18/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [13:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [13:00:00 18/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 18/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [13:00:00 18/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [13:00:00 18/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [13:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [13:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [13:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [13:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 33.75 vu: ml t0: [13:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [13:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:05:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:05:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 18/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [14:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 18/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [14:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [14:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.6563 vu: ml t0: [14:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [13:05:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [14:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [15:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [15:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [15:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [15:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 18/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 18/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 18/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 18/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 18/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 18/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 18/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 18/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 18/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 18/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 18/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [16:00:00 18/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 18/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 18/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 125 rs: Manual st: NotStopd
t0: [16:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [16:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [16:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [16:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [16:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 18/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 18/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:45:00 18/12/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: RN ai: -1 vo: 50 vu: ml
t0: [16:00:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [16:00:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 18/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.5 u1: L/min st: NotStopd t0: [16:00:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [16:00:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 18/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 820 u1: ml/B st: NotStopd t0: [16:00:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [17:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [17:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [17:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [17:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [17:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:28:00 18/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [17:28:00 18/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [17:00:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd
t0: [18:00:00 18/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 18/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [18:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [18:00:00 18/12/2010] id: TPN w/Lipids IV Nutrition el: 1 cu: C-SICU cg: RN ai: 272 vo: 100 vu: ml t0: [18:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [18:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [18:00:00 18/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 250 vu: ml
t0: [23:00:00 18/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 550 ap: none
t0: [18:32:00 18/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [18:32:00 18/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd
t0: [19:40:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [19:40:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [19:40:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:40:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [19:40:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:40:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:40:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [19:40:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [19:40:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [19:40:00 18/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [19:40:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [19:40:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 23.3 u1: L/min st: NotStopd t0: [19:40:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [19:40:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [19:40:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [19:40:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [19:40:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:40:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:40:00 18/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [19:40:00 18/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [19:40:00 18/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 740 u1: ml/B st: NotStopd t0: [19:40:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [19:40:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [19:40:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [19:40:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [19:40:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:40:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:25:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 57 rs: Manual st: NotStopd
t0: [20:25:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 18/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 18/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 18/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [21:00:00 18/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [21:00:00 18/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [21:30:00 18/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 82 rs: Manual st: NotStopd
t0: [22:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 18/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [22:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [22:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 18/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [22:00:00 18/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [22:00:00 18/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd
t0: [22:42:00 18/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [22:42:00 18/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [22:42:00 18/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [23:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 18/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:10:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:10:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:10:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:10:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:10:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:10:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:10:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:10:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:10:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:10:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:10:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:10:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:10:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 19/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [00:00:00 19/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:45:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:45:00 19/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:45:00 19/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:45:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:45:00 19/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:45:00 19/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:45:00 19/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.1 st: NotStopd t0: [00:45:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:45:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:45:00 19/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [00:45:00 19/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:45:00 19/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:45:00 19/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:45:00 19/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.2 u1: L/min st: NotStopd t0: [00:45:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:45:00 19/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:45:00 19/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:45:00 19/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:45:00 19/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [00:45:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:45:00 19/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:45:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:45:00 19/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:45:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:45:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:45:00 19/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:45:00 19/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:45:00 19/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 835 u1: ml/B st: NotStopd t0: [00:45:00 19/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:45:00 19/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [00:45:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:45:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:45:00 19/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:45:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:45:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:45:00 19/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:45:00 19/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 18/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 10 v2: 17 st: NotStopd t0: [21:00:00 18/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 43.75 u1: ml/cmH st: NotStopd t0: [21:00:00 18/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [21:00:00 18/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [21:00:00 18/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:00:00 18/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.1 st: NotStopd t0: [21:00:00 18/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [21:00:00 18/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [21:00:00 18/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:00:00 18/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.6 u1: L/min st: NotStopd t0: [21:00:00 18/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 18/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 18/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [21:00:00 18/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:00:00 18/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 18/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 18/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 18/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [21:00:00 18/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [21:00:00 18/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 18/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [21:00:00 18/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:00:00 18/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 18/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 18/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 18/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd
t0: [00:00:00 19/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [01:30:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:30:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:30:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:30:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:30:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:30:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:30:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:30:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:30:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 19/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 95 rs: Manual st: NotStopd
t0: [02:38:00 19/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [02:38:00 19/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [02:38:00 19/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:38:00 19/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [02:38:00 19/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [02:38:00 19/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd
t0: [02:30:00 19/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.5 u1: % rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 2.99 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 rs: Final st: NotStopd
t0: [03:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: -1 ai: 209 vo: 0 st: D/C'd
t0: [20:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 18/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 18/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 18/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [20:00:00 18/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 18/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 18/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 18/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 18/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 18/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 18/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 18/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Labored st: NotStopd t0: [20:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 18/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 18/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 18/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 18/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 18/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 18/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 18/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 18/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 18/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 18/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 18/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [22:00:00 18/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [22:00:00 18/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 18/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 18/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 18/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 18/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 18/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 18/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 18/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 18/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 18/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 18/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 18/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 18/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [22:00:00 18/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 18/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 18/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 18/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 18/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 18/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 18/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 18/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 18/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 18/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [23:00:00 18/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 18/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 18/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 18/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 18/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [20:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 8 vu: ml t0: [20:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 60.75 vu: ml t0: [20:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [21:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [21:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.66667 vu: ml t0: [21:00:00 18/12/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: RN ai: -1 vo: 50 vu: ml t0: [21:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [21:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [22:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [22:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [22:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [22:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [23:00:00 18/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 18/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 18/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [23:00:00 18/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [00:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 28.9688 vu: ml t0: [00:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [20:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.19 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 18/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 18/12/2010] dt: 24 id: Colloids Total el: 3 cu: C-SICU cg: RN cv: 200 ap: none t0: [23:00:00 19/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 150 cv: 150 ap: none t0: [23:00:00 19/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -150 cv: -150 ap: none t0: [23:00:00 19/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1709.36 ap: none t0: [23:00:00 19/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3724.36 ap: none t0: [23:00:00 19/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1495 ap: none t0: [23:00:00 19/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 2550 ap: none t0: [23:00:00 19/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -150 cv: 224.359 ap: none t0: [23:00:00 19/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 150 cv: 3500 ap: none t0: [23:00:00 19/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -150 cv: 105517 ap: carryForward
t0: [02:30:00 19/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 135 rs: Final st: NotStopd
t0: [02:30:00 19/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:30:00 19/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 61 rs: Final st: NotStopd
t0: [03:45:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [03:45:00 19/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [03:45:00 19/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [03:45:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:45:00 19/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [03:45:00 19/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [03:45:00 19/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.1 st: NotStopd t0: [03:45:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:45:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [03:45:00 19/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [03:45:00 19/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [03:45:00 19/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [03:45:00 19/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [03:45:00 19/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [03:45:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:45:00 19/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [03:45:00 19/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [03:45:00 19/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [03:45:00 19/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [03:45:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [03:45:00 19/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [03:45:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [03:45:00 19/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [03:45:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:45:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [03:45:00 19/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 714 u1: ml/B st: NotStopd t0: [03:45:00 19/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [03:45:00 19/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [03:45:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [03:45:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [03:45:00 19/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [03:45:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [03:45:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [03:45:00 19/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [03:45:00 19/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [02:30:00 19/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 65 rs: Final st: NotStopd t0: [03:45:00 19/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [04:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 19/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN st: NotStopd t0: [04:00:00 19/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 19/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 19/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 19/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 19/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 19/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Sanguinous v2: Scant st: NotStopd t0: [04:00:00 19/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 19/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 19/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 19/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 19/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 19/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [04:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [04:00:00 19/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 19/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [04:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [04:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [02:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [02:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 57.375 vu: ml t0: [02:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml t0: [04:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [04:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 57.375 vu: ml t0: [04:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [04:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:05:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:30:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:30:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:30:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:30:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:30:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:30:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:30:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:30:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:30:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:15:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 89 rs: Manual st: NotStopd t0: [05:15:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 89 rs: Manual st: NotStopd
t0: [06:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [06:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54.1406 vu: ml t0: [06:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [06:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [19:00:00 18/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [22:00:00 18/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 19/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 19/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [02:00:00 19/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd
t0: [07:50:00 19/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 25.9259 u1: ml/cmH st: NotStopd t0: [07:50:00 19/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [07:50:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 19/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:50:00 19/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:50:00 19/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.1 st: NotStopd t0: [07:50:00 19/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [07:50:00 19/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [07:50:00 19/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [07:50:00 19/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.4 u1: L/min st: NotStopd t0: [07:50:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:50:00 19/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [07:50:00 19/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [07:50:00 19/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [07:50:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [07:50:00 19/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [07:50:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [07:50:00 19/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [07:50:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:50:00 19/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [07:50:00 19/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:50:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:50:00 19/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 19/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 19/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [08:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [08:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [08:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [07:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 19/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [08:00:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 19/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 19/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: CoWker v1: 111 rs: Manual st: NotStopd
t0: [09:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [09:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:28:00 19/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: CaO2 el: 0 cu: C-SICU cg: 3161 v1: 12.8815 u1: ml/dl st: NotStopd t0: [09:28:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 131 u1: mmHg rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [09:28:00 19/12/2010] id: SaO2 ABG's el: 0 cu: C-SICU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [08:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 19/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [10:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [10:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [10:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 19/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [10:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [10:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [10:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 19/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 19/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [10:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 19/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [10:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 19/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 19/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [10:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 19/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 19/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [10:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [10:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [10:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [10:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [10:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd
t0: [10:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:27:00 19/12/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
id: Packed RBC's el: 1 cu: C-SICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [11:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 19/12/2010] tf: [03:00:00 30/12/2010] dt: 15360 id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 375 vu: ml
t0: [11:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/12/2010] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 375 ap: none
t0: [11:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [11:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd
t0: [11:30:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml nb: 1
t0: [11:30:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 19/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 19/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 19/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 19/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 19/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 19/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [12:00:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 19/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 19/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:00:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 19/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [12:00:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 19/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [11:15:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:15:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:15:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:15:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:15:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:15:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:15:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:15:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:15:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:15:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [11:15:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [11:15:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [11:15:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:30:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:30:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:30:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:30:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:30:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:30:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:30:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [11:30:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [11:30:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [11:30:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:45:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:45:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:45:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:45:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:45:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:45:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:45:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:45:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:45:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [11:45:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [11:45:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [11:45:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [12:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [12:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [12:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:15:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:15:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [12:15:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:15:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:15:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:15:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 122 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:15:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:15:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:15:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:15:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:15:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:15:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:15:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:15:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:30:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [12:30:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:30:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:30:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:30:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:30:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:30:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:30:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:30:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [12:30:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [12:30:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:45:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:45:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:45:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:15:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:15:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:30:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 121 rs: Manual st: NotStopd t0: [12:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [12:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 121 rs: Manual st: NotStopd t0: [13:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [13:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [12:00:00 19/12/2010] tf: [22:00:00 19/12/2010] dt: 600 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [12:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [12:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [13:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: CoWker v1: 129 rs: Manual st: NotStopd t0: [13:00:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: CoWker v1: 129 rs: Manual st: NotStopd
t0: [13:00:00 19/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 19/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 19/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 19/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 19/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [13:00:00 19/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [13:00:00 19/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 19/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [02:30:00 19/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 2.2 u1: ng rs: Final st: NotStopd
t0: [14:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [14:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [14:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [14:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [14:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [14:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [14:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [14:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 19/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [14:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [14:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [14:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [14:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd t0: [15:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [15:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [15:00:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [12:00:00 19/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 19/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 19/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 19/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 19/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 19/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 19/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 19/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [16:00:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 19/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 19/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 19/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 830 u1: ml/B st: NotStopd t0: [16:00:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [15:00:00 19/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 19/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 19/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 19/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 19/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 19/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 19/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [16:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [16:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [16:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [16:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 19/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 19/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 19/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 19/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 19/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 19/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 19/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 19/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 19/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 19/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 19/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 19/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 19/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 19/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [10:00:00 19/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 19/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 19/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 19/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 19/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 19/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 19/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 19/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [17:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [17:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [17:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 27 vu: ml t0: [17:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [17:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 19/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 19/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 19/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 19/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 19/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 19/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 19/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 19/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [17:00:00 19/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 800 vu: ml
t0: [23:00:00 19/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [17:26:00 19/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.4 u1: % rs: Final st: NotStopd
t0: [18:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [18:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [18:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 9 st: NotStopd t0: [18:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 19/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [18:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [18:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [18:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [18:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [18:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [18:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [18:00:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 19/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [18:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 19/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [18:00:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [18:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 19/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [18:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [18:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 27 vu: ml t0: [18:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [18:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [20:00:00 19/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 19/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 19/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 19/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 19/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 19/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 19/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 19/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 19/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:00:00 19/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 19/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 19/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [20:00:00 19/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 19/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 19/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Not Applicable st: NotStopd t0: [20:00:00 19/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 19/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 19/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 19/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [20:00:00 19/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 19/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 19/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 19/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 19/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 19/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 19/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 19/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [20:00:00 19/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 19/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 19/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 19/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 77 rs: Manual st: NotStopd t0: [20:00:00 19/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 19/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 19/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 19/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 19/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 19/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 19/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 19/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 19/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 19/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 19/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 19/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 19/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 19/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 19/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 19/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [20:00:00 19/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 19/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 19/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 19/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 19/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 19/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 19/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 19/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 19/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 19/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 19/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 19/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 19/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 19/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 19/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 19/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 19/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 19/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 19/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 19/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 19/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 19/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [20:00:00 19/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [20:00:00 19/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 19/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 19/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 77 rs: Manual st: NotStopd t0: [20:00:00 19/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 19/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 19/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 19/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 19/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 19/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [20:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [20:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 145 ap: none
t0: [22:00:00 19/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 72 rs: Manual st: NotStopd t0: [22:00:00 19/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [21:54:00 19/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [21:54:00 19/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [21:54:00 19/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [21:54:00 19/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [21:54:00 19/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [21:54:00 19/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd
t0: [22:00:00 19/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 19/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 19/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 19/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 19/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 19/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 19/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 19/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 19/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 19/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [22:00:00 19/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [22:00:00 19/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml nb: 1 t0: [22:00:00 19/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [22:00:00 19/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:54:00 19/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [21:54:00 19/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd
t0: [00:00:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:00:00 20/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 20/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 20/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 20/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [00:00:00 20/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [00:00:00 20/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 20/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 20/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [00:00:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 20/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 20/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Not Applicable st: NotStopd t0: [00:00:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 20/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 20/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 20/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [00:00:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 20/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
io: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 5 ru: ml/hr
id: Carrier el: 1 cu: C-SICU cg: RN io: Carrier 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [00:00:00 20/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 20/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [00:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 20/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 20/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [00:00:00 20/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [00:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [00:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [00:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 0 vu: ml nb: 1 t0: [00:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [00:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 300 ap: none
t0: [00:00:00 20/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd t0: [00:00:00 20/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd
t0: [00:00:00 20/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 20/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [00:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [00:00:00 20/12/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.51943 u1: m2 st: NotStopd t0: [00:00:00 20/12/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.76686 u1: m2 st: NotStopd t0: [00:00:00 20/12/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:00:00 20/12/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [01:00:00 20/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 20/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 20/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 20/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [23:00:00 19/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [23:00:00 19/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 150 cv: 950 ap: none
t0: [01:00:00 20/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [02:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 20/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [02:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [02:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [02:00:00 20/12/2010] tf: [08:00:00 27/12/2010] dt: 10440 id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [02:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [02:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 20/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -50 cv: -50 ap: none t0: [23:00:00 20/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2202.75 ap: none t0: [23:00:00 20/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 4062.75 ap: none t0: [23:00:00 20/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 1560 ap: none t0: [23:00:00 20/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1750 ap: none t0: [23:00:00 20/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -50 cv: 2262.75 ap: none t0: [23:00:00 20/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 50 cv: 1800 ap: none t0: [23:00:00 20/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -50 cv: 107779 ap: carryForward
t0: [03:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:37:00 20/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [02:37:00 20/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [02:37:00 20/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [02:37:00 20/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:37:00 20/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [02:37:00 20/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd
t0: [02:30:00 20/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.7 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.7 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.1 u1: % rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.27 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.7 rs: Final st: NotStopd
t0: [02:30:00 20/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 65 rs: Final st: NotStopd
t0: [02:30:00 20/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1112 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [02:30:00 20/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 63.3 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 63.3 rs: Final st: NotStopd
t0: [02:30:00 20/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22.6 rs: Final st: NotStopd t0: [02:30:00 20/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22.6 rs: Final st: NotStopd
t0: [02:30:00 20/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.9 u1: ng rs: Final st: NotStopd
t0: [02:00:00 20/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN rs: Manual st: NotStopd t0: [02:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [02:00:00 20/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN rs: Manual st: NotStopd t0: [04:00:00 20/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 20/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [04:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [04:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 20/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 20/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [04:00:00 20/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [04:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [04:00:00 20/12/2010] tf: [14:00:00 21/12/2010] dt: 2040 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [04:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [04:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [04:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [04:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd
t0: [04:45:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [04:45:00 20/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:45:00 20/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:45:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:45:00 20/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:45:00 20/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:45:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:45:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:45:00 20/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [04:45:00 20/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [04:45:00 20/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:45:00 20/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:45:00 20/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [04:45:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:45:00 20/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:45:00 20/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Not Applicable st: NotStopd t0: [04:45:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:45:00 20/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:45:00 20/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:45:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:45:00 20/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [04:45:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:45:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:45:00 20/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:45:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:45:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:45:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [06:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [06:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [06:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [06:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [06:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [06:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [08:00:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 20/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 20/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 20/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 20/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 20/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 20/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 20/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 20/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [08:00:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 20/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 20/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 20/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 20/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 20/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 20/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [08:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [08:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 20/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 20/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 20/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.165926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [08:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [08:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 60.75 vu: ml t0: [08:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [08:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [08:00:00 20/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 20/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [08:00:00 20/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 20/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 20/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 20/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 20/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 20/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 20/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 20/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 20/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 20/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 20/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 20/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 20/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd
t0: [09:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [09:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [08:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 20/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 20/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [08:00:00 20/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [09:00:00 20/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [09:00:00 20/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd
tf: [06:00:00 21/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 9 m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml tf: [07:00:00 24/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 9 m1: Norepinephrine v1: 8 u1: mg m2: D5W v2: 250 u2: ml tf: [09:00:00 26/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 9 dn: 0 m1: Norepinephrine v1: 16 u1: mg m2: NS v2: 250 u2: ml tf: [09:00:00 27/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 9 m1: Norepinephrine v1: 16 u1: mg m2: NS v2: 250 u2: ml tf: [10:00:00 27/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 9 m1: Norepinephrine v1: 32 u1: mg m2: D5W v2: 250 u2: ml tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO fs: 10 m1: Norepinephrine v1: 32 u1: mg m2: NS v2: 250 u2: ml
t0: [09:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [09:00:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [08:00:00 20/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd
t0: [10:00:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [10:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Plug st: NotStopd t0: [10:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [10:04:00 20/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 123 u1: mmHg rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [10:04:00 20/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.1 rs: Final st: NotStopd
t0: [10:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd
t0: [10:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [10:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 56 vu: ml t0: [10:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [10:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [10:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.148148 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 20/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [10:00:00 20/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [10:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 20/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [10:00:00 20/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [10:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [10:00:00 20/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [10:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [10:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [10:00:00 20/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [10:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [10:00:00 20/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 20/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [10:00:00 20/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [10:00:00 20/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 20/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 20/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
t0: [10:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [10:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd
t0: [10:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [10:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [11:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [11:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 20/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [11:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [11:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [11:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 25 vu: ml t0: [11:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [11:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [11:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [11:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 20/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [12:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [12:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 20/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 20/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 20/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [12:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 20 vu: ml t0: [12:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [12:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [12:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 20/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 20/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 20/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 20/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 20/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 20/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 20/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 20/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 20/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 20/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 20/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 20/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 20/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [12:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 20/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 20/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 20/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 20/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 20/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 20/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 20/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 20/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 20/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 20/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [12:00:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 20/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 20/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 20/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 20/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [12:00:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 20/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [13:00:00 20/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: C-SICU cg: RN ai: 210 vo: 20 vu: ml t0: [13:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [13:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [13:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [13:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [13:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [13:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [13:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [14:00:00 20/12/2010] id: Energy Expenditure el: 0 cu: C-SICU cg: RRT v1: 3060 st: NotStopd t0: [14:00:00 20/12/2010] id: Resp Quotient - (R) el: 0 cu: C-SICU cg: RRT v1: 0.69 st: NotStopd t0: [14:00:00 20/12/2010] id: VCO2 (180-200) el: 0 cu: C-SICU cg: RRT v1: 309 st: NotStopd t0: [14:00:00 20/12/2010] id: VO2 (200-250) el: 0 cu: C-SICU cg: RRT v1: 452 u1: ml/min st: NotStopd
t0: [15:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [15:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [15:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [15:00:00 20/12/2010] tf: [17:05:00 31/12/2010] dt: 15965 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 20/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 20 vu: ml t0: [15:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [15:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [13:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.0592593 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.148148 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 20/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [15:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [15:00:00 20/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [15:00:00 20/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [15:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 20/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Thrush st: NotStopd t0: [15:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [15:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [15:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [15:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [15:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [15:00:00 20/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [15:00:00 20/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [15:00:00 20/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [15:00:00 20/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [15:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 20/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
t0: [15:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [15:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [15:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [15:00:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 9 st: NotStopd t0: [15:00:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [15:00:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [15:00:00 20/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Trach Mask st: NotStopd t0: [15:00:00 20/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [15:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [15:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [15:00:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [15:00:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [15:00:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [16:00:00 20/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 188 u1: mmHg rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [16:00:00 20/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [16:00:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 20/12/2010] id: AaDO2 el: 0 cu: C-SICU cg: RRT v1: 266.1 u1: mmHg st: NotStopd t0: [16:00:00 20/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [16:00:00 20/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [16:00:00 20/12/2010] id: PAO2 el: 0 cu: C-SICU cg: RRT v1: 454.1 u1: mmHg st: NotStopd
t0: [17:00:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [17:00:00 20/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [17:00:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 20/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 20/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 20/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 20/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [17:00:00 20/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 20/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [17:00:00 20/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [17:00:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 20/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [17:00:00 20/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [17:00:00 20/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [17:00:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [17:00:00 20/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [17:00:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [17:00:00 20/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [17:00:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [17:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [17:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [17:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 20/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 20/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [17:00:00 20/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [17:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.165926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [17:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 20/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 50 vu: ml t0: [17:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [17:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [15:00:00 20/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 20/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 20/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 20/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 20/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [17:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [17:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [17:00:00 20/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [17:00:00 20/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [17:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [17:00:00 20/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [17:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [17:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [18:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 20/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 20/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [18:00:00 20/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 20/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [18:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 20/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 20/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 108 rs: Manual st: NotStopd
id: Levophed-k el: 202 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ra: 40 ru: ml/hr
id: D5W el: 2 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [18:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN st: NotStopd
t0: [18:05:00 20/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [18:05:00 20/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [18:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [18:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 20/12/2010] id: ETT Mark/Location el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 20/12/2010] id: ETT Position Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 20/12/2010] id: Extubation Date el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [18:14:00 20/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [18:14:00 20/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [18:14:00 20/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [18:14:00 20/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd
t0: [20:43:00 20/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:43:00 20/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: Positional st: NotStopd t0: [20:43:00 20/12/2010] id: Cuff Pressure-Airway el: 0 cu: C-SICU cg: RRT u1: cmH2O st: NotStopd t0: [20:43:00 20/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:43:00 20/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:43:00 20/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:43:00 20/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:43:00 20/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:43:00 20/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [20:43:00 20/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:43:00 20/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:43:00 20/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:43:00 20/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:43:00 20/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [20:43:00 20/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:43:00 20/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:43:00 20/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:43:00 20/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:43:00 20/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:43:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:43:00 20/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:43:00 20/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:43:00 20/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 745 u1: ml/B st: NotStopd t0: [20:43:00 20/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:43:00 20/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:43:00 20/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:43:00 20/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:43:00 20/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:43:00 20/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [21:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [21:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [21:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 20/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [21:00:00 20/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [21:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 28 vu: ml t0: [21:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 20/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 148 vu: ml t0: [21:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml t0: [21:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 260 vu: ml
t0: [21:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:14:00 20/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 85.5 rs: Final st: NotStopd t0: [18:14:00 20/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 85.5 rs: Final st: NotStopd
t0: [22:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [22:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [22:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [22:00:00 20/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [22:00:00 20/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 40 vu: ml t0: [22:00:00 20/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [22:00:00 20/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [22:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 20/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [21:00:00 20/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [21:00:00 20/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [21:00:00 20/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 20/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 20/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [21:00:00 20/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 20/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [21:00:00 20/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [21:00:00 20/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [21:00:00 20/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [21:00:00 20/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [21:00:00 20/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 20/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 20/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 20/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [21:00:00 20/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 20/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [21:00:00 20/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 20/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [21:00:00 20/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 20/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 20/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 20/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 20/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [21:00:00 20/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [21:00:00 20/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 20/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [21:00:00 20/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [21:00:00 20/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 20/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 20/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 20/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [21:00:00 20/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 20/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 20/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 20/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [21:00:00 20/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 20/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [21:00:00 20/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 20/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [21:00:00 20/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [21:00:00 20/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [21:00:00 20/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:00:00 20/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [21:00:00 20/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [22:00:00 20/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 20/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 20/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 20/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 20/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 20/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 20/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 20/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 20/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 20/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 20/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 20/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 20/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 20/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 20/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [23:00:00 20/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 20/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [23:00:00 20/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 20/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 20/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 20/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 20/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [00:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [00:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [00:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [00:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [00:00:00 21/12/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: C-SICU cg: RN ai: 210 vo: 80 vu: ml t0: [00:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [00:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [00:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 21/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 240 ap: none
t0: [01:48:00 21/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [01:48:00 21/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [01:48:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:48:00 21/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:48:00 21/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:48:00 21/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:48:00 21/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:48:00 21/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [01:48:00 21/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [01:48:00 21/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:48:00 21/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [01:48:00 21/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:48:00 21/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [01:48:00 21/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:48:00 21/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:48:00 21/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:48:00 21/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:48:00 21/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:48:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [01:48:00 21/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [01:48:00 21/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:48:00 21/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [01:48:00 21/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [01:48:00 21/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [01:48:00 21/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:48:00 21/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [01:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [01:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [02:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 21/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [02:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [02:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [03:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 21/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [03:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [03:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 21 vu: ml t0: [03:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [03:00:00 21/12/2010] tf: [17:05:00 31/12/2010] dt: 15245 id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 120 vu: ml t0: [03:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml t0: [03:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 195 vu: ml
t0: [01:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.118519 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.121481 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 15 cv: 15 ap: none t0: [23:00:00 21/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 89.3125 cv: 89.3125 ap: none t0: [23:00:00 21/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 39.3125 cv: 2509.46 ap: none t0: [23:00:00 21/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 104.312 cv: 4374.46 ap: none t0: [23:00:00 21/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 65 cv: 1625 ap: none t0: [23:00:00 21/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 15 cv: 1535 ap: none t0: [23:00:00 21/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 89.3125 cv: 2539.46 ap: carryForward t0: [23:00:00 21/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 15 cv: 1835 ap: carryForward t0: [23:00:00 21/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 89.3125 cv: 110319 ap: carryForward
t0: [03:33:00 21/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 160 u1: mmHg rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [03:33:00 21/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [03:00:00 21/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.9 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.9 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 8.9 rs: Final st: NotStopd
t0: [03:00:00 21/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 68.2 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 68.2 rs: Final st: NotStopd
t0: [00:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 21/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [02:00:00 21/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [02:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 21/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [02:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [02:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 21/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 21/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 21/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [02:00:00 21/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 21/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [02:00:00 21/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 21/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [02:00:00 21/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 21/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [02:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:00:00 21/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 21/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 21/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 21/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [02:00:00 21/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [02:00:00 21/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 21/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 8 u1: number st: NotStopd t0: [02:00:00 21/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [04:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [04:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [04:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [04:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.121481 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 21/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Albumin Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Albumin (>3.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [03:00:00 21/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22.6 rs: Final st: NotStopd t0: [03:00:00 21/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 22.6 rs: Final st: NotStopd
t0: [03:00:00 21/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1357 rs: Final st: NotStopd
t0: [05:44:00 21/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [05:44:00 21/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:44:00 21/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:44:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:44:00 21/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:44:00 21/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:44:00 21/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:44:00 21/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:44:00 21/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [05:44:00 21/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [05:44:00 21/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [05:44:00 21/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:44:00 21/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11.8 u1: cmH2O st: NotStopd t0: [05:44:00 21/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [05:44:00 21/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:44:00 21/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:44:00 21/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:44:00 21/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:44:00 21/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:44:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:44:00 21/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Plug st: NotStopd t0: [05:44:00 21/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:44:00 21/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 565 u1: ml/B st: NotStopd t0: [05:44:00 21/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:44:00 21/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:44:00 21/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:44:00 21/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:44:00 21/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:44:00 21/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 21/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 21/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 21/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [06:00:00 21/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Neg Insp Force(>-25) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Peak Flow el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Ventilator No. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Vital Cap (>1.0)L el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [06:00:00 21/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [06:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 21 vu: ml t0: [06:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [06:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 123 vu: ml t0: [06:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml t0: [06:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 195 vu: ml
t0: [06:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 21/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 21/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [06:00:00 21/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 21/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [06:00:00 21/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [06:00:00 21/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 49.3333 u1: mmHg st: NotStopd t0: [06:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [06:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [06:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 21/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 21/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [06:00:00 21/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [06:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [06:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.121481 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
id: Levophed-k el: 204 cu: C-SICU cg: RN io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips am: 8 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ra: 20.5 ru: ml/hr
id: D5W el: 2 cu: C-SICU cg: RN io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips vo: 250 du: ml rt: Intravenous Push
t0: [07:00:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [07:00:00 21/12/2010] id: Micro-Neb Treatment el: 0 cu: C-SICU cg: RRT v1: alb/atr st: NotStopd t0: [07:00:00 21/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd
t0: [07:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 21/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [07:00:00 21/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [07:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [07:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [07:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 21/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [08:00:00 21/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [08:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [08:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [08:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [08:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.121481 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:00:00 21/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [08:00:00 21/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 21/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 21/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 21/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 21/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 21/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 21/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 21/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 21/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 21/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 21/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [08:00:00 21/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 21/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 21/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 21/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 21/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 21/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [08:00:00 21/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 21/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 21/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 21/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 21/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 21/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RRT ai: 117 vo: 14 vu: ml t0: [08:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RRT ai: 209 vo: 2 vu: ml t0: [08:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RRT ai: 210 vo: 61.5 vu: ml t0: [08:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RRT ai: 111 vo: 10 vu: ml t0: [08:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RRT ai: 443 vo: 130 vu: ml
t0: [08:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RRT so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 21/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 21/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 21/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 21/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 21/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 21/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 21/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 21/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 21/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 21/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 21/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 21/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 21/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 21/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [08:00:00 21/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [09:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 21/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 21/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [09:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [09:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [10:00:00 21/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [10:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 21/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [10:00:00 21/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [10:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 21/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [10:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 21/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 21/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [10:00:00 21/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [10:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 21/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 21/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [10:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 21/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 21/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [10:00:00 21/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 21/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [10:00:00 21/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [10:00:00 21/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [10:00:00 21/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [10:00:00 21/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [10:00:00 21/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [10:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [10:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [10:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [10:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [09:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 116 rs: Manual st: NotStopd t0: [10:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 101 rs: Manual st: NotStopd
t0: [10:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [10:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [10:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.142222 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [11:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [11:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml t0: [11:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [11:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [11:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.136296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 21/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [12:00:00 21/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd
pt: TPN
t0: [13:00:00 21/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [13:00:00 21/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [13:00:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 21/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [13:00:00 21/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 21/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 21/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:00:00 21/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [13:00:00 21/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [13:00:00 21/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [13:00:00 21/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [13:00:00 21/12/2010] id: Micro-Neb Treatment el: 0 cu: C-SICU cg: RRT v1: alb/atr st: NotStopd t0: [13:00:00 21/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [13:00:00 21/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 21/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 21/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 21/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:00:00 21/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 21/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [13:00:00 21/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [13:00:00 21/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [13:00:00 21/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [13:00:00 21/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [13:00:00 21/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [13:00:00 21/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [13:00:00 21/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 21/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 21/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [12:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 21/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 21/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [12:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [12:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 21/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [12:00:00 21/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [12:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [12:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 78 rs: Manual st: NotStopd t0: [12:00:00 21/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [13:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [13:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [13:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [13:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 23 vu: ml t0: [12:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [12:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [13:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [13:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 23 vu: ml t0: [13:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [13:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [12:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.136296 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 21/12/2010] tf: [08:30:00 22/12/2010] dt: 1170 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [13:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.13037 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [14:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [14:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [14:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 22 vu: ml t0: [14:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [14:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [14:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.13037 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 21/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [14:00:00 21/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [14:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 21/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [14:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [14:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 21/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 21/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 21/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 21/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [14:00:00 21/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [14:00:00 21/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 21/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 21/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 21/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [14:00:00 21/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 21/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [14:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 21/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [16:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [16:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 21/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [16:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [16:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 44 vu: ml t0: [16:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [16:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 130 vu: ml
t0: [16:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.124 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 21/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [16:00:00 21/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [16:10:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:10:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:10:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:10:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:10:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:10:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:10:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [16:10:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:10:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [16:10:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:10:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [16:10:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:10:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:10:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:10:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 21/12/2010] id: Micro-Neb Treatment el: 0 cu: C-SICU cg: RRT v1: alb/atr st: NotStopd t0: [16:00:00 21/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 21/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 21/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [17:00:00 21/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [17:00:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 21/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 21/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 21/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 21/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 21/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 21/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [17:00:00 21/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [17:00:00 21/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [17:00:00 21/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 13.9 u1: L/min st: NotStopd t0: [17:00:00 21/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 21/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 21/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [17:00:00 21/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [17:00:00 21/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 21/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [17:00:00 21/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 21/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [17:00:00 21/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 21/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd
t0: [17:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [17:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 21/12/2010] tf: [09:00:00 22/12/2010] dt: 960 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [17:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 24.5813 vu: ml t0: [17:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [17:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [16:30:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 21/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 21/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 21/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 138 rs: Manual st: NotStopd t0: [17:00:00 21/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [17:00:00 21/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [17:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [17:00:00 21/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [17:00:00 21/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 21/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 21/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [17:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [17:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [17:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [17:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [17:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 21/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [16:00:00 21/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 21/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 21/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [17:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [17:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [17:00:00 21/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [17:00:00 21/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 21/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 21/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [17:00:00 21/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 21/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [17:00:00 21/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [17:00:00 21/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 21/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 21/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned st: NotStopd t0: [17:00:00 21/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 21/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 21/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 21/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [17:00:00 21/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [17:00:00 21/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [17:00:00 21/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 21/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN st: NotStopd t0: [18:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 21/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [18:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 21/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [18:00:00 21/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 21/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [18:00:00 21/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [18:00:00 21/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [18:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 21/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [18:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 158 rs: Manual st: NotStopd
t0: [18:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [18:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [18:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [18:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped t0: [18:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
tf: [16:00:00 24/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: TPN el: 1 cu: C-SICU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [19:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [19:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [19:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [19:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [19:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [19:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [19:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [19:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [20:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [20:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [20:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [20:00:00 21/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [20:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [20:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 21/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 21/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 21/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 21/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 21/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 21/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 21/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 21/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 21/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 21/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 21/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 21/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 21/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 21/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 21/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 21/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 21/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 21/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 21/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 21/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 21/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 21/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 21/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 21/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 21/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 21/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 21/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 21/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 21/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [20:40:00 21/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:40:00 21/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:40:00 21/12/2010] id: Cuff Pressure-Airway el: 0 cu: C-SICU cg: RRT u1: cmH2O st: NotStopd t0: [20:40:00 21/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:40:00 21/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:40:00 21/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:40:00 21/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:40:00 21/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:40:00 21/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:40:00 21/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:40:00 21/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:40:00 21/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:40:00 21/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:40:00 21/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [20:40:00 21/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:40:00 21/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:40:00 21/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:40:00 21/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:40:00 21/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:40:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:40:00 21/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [20:40:00 21/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:40:00 21/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:40:00 21/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:40:00 21/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:40:00 21/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:40:00 21/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 21/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 21/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [21:00:00 21/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [21:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [21:00:00 21/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [21:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [21:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [21:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [21:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [21:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:15:00 21/12/2010] id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [20:00:00 21/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [23:00:00 21/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 300 ap: none
t0: [22:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 21/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 21/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 21/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 21/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [22:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 21/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [22:00:00 21/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [22:00:00 21/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [22:00:00 21/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [22:00:00 21/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 21/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 21/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 0 vu: ml t0: [22:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [22:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [22:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [22:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 21/12/2010] tf: [17:05:00 31/12/2010] dt: 14105 id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 21/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 21/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 21/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 21/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 21/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 21/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 21/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 21/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 21/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 21/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 21/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [23:00:00 21/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 21/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 105.8 u1: kg st: NotStopd t0: [23:00:00 21/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 21/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 21/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/12/2010] tf: [17:05:00 31/12/2010] dt: 14045 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 21/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [23:00:00 21/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [23:00:00 21/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [23:00:00 21/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [23:00:00 21/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 21/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [23:00:00 21/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [00:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [00:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 25.3125 vu: ml t0: [00:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [00:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [00:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 22/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 22/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 22/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 22/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 22/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 22/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 22/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 22/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 22/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 22/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 22/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 22/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 22/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 22/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 22/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 22/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 22/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 22/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 22/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 22/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 22/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 22/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 22/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 22/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [00:00:00 22/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 22/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 22/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 22/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 22/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 22/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 22/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 22/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [00:00:00 22/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 22/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 22/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 22/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd t0: [00:00:00 22/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 22/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 22/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 22/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 22/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 22/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 22/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [00:37:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:37:00 22/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:37:00 22/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:37:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:37:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:37:00 22/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:37:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [00:37:00 22/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [00:37:00 22/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:37:00 22/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:37:00 22/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.9 u1: L/min st: NotStopd t0: [00:37:00 22/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:37:00 22/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:37:00 22/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:37:00 22/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:37:00 22/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:37:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:37:00 22/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 757 u1: ml/B st: NotStopd t0: [00:37:00 22/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:37:00 22/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [01:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [01:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [01:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [01:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 28.6875 vu: ml t0: [01:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [01:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [00:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [02:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [02:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [02:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [02:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 28.6875 vu: ml t0: [02:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [02:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [02:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.19 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 122 rs: Manual st: NotStopd
t0: [03:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [03:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [03:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [03:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [03:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [03:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 35 cv: 35 ap: none t0: [23:00:00 22/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 188.188 cv: 188.188 ap: none t0: [23:00:00 22/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 58.1875 cv: 2221.97 ap: none t0: [23:00:00 22/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 223.188 cv: 5184.27 ap: none t0: [23:00:00 22/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN pv: 65 cv: 1560 ap: none t0: [23:00:00 22/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 35 cv: 1345 ap: none t0: [23:00:00 22/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 188.188 cv: 3639.27 ap: carryForward t0: [23:00:00 22/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 35 cv: 1545 ap: carryForward t0: [23:00:00 22/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 188.188 cv: 114167 ap: carryForward
t0: [03:41:00 22/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [03:41:00 22/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [03:41:00 22/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:41:00 22/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 22/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 22/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd
t0: [03:46:00 22/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [03:46:00 22/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd t0: [03:46:00 22/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd t0: [03:46:00 22/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [03:46:00 22/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [03:46:00 22/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [03:46:00 22/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd
t0: [03:25:00 22/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.4 u1: % rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 2.93 u1: /mic l rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.7 rs: Final st: NotStopd
t0: [03:30:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:30:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:30:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [03:30:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.19 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 22/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 22/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 22/12/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 22/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 22/12/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 22/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 22/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 22/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 22/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 22/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 22/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 22/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 22/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 22/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 22/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 22/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 22/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 22/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 22/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 22/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 22/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 22/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 22/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [04:00:00 22/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 22/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 22/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 22/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 22/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 22/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [04:00:00 22/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 22/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 22/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 22/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 22/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 22/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 22/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 22/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [04:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [04:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [04:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 34.5938 vu: ml t0: [04:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [04:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [04:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:25:00 22/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd
t0: [03:25:00 22/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 64.4 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 64.4 rs: Final st: NotStopd
t0: [00:00:00 22/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [00:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [00:00:00 22/12/2010] id: BSA - English el: 0 cu: C-SICU cg: RN v1: 1.49707 u1: m2 st: NotStopd t0: [00:00:00 22/12/2010] id: BSA - Metric el: 0 cu: C-SICU cg: RN v1: 1.74146 u1: m2 st: NotStopd t0: [00:00:00 22/12/2010] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:00:00 22/12/2010] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [01:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [02:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [03:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [03:30:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 22/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [04:00:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 22/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 22/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 22/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [05:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [05:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [05:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [05:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [05:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [05:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [05:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:25:00 22/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [03:25:00 22/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23.1 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1446 rs: Final st: NotStopd t0: [03:25:00 22/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23.1 rs: Final st: NotStopd
t0: [06:00:00 22/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [06:00:00 22/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [06:00:00 22/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [06:00:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 22/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [06:00:00 22/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [06:00:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:00:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:00:00 22/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [06:00:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [06:00:00 22/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [06:00:00 22/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [06:00:00 22/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [06:00:00 22/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.2 u1: L/min st: NotStopd t0: [06:00:00 22/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 22/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [06:00:00 22/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [06:00:00 22/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [06:00:00 22/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [06:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [06:00:00 22/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 675 u1: ml/B st: NotStopd t0: [06:00:00 22/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [06:00:00 22/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [06:00:00 22/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [06:00:00 22/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [06:00:00 22/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 22/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 114 rs: Manual st: NotStopd t0: [06:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [06:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [07:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [07:00:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [07:00:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [07:00:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [07:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [07:00:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [06:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [06:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [06:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [06:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [06:00:00 22/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [06:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 200 ap: none t0: [23:00:00 22/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [19:00:00 21/12/2010] tf: [17:05:00 31/12/2010] dt: 14285 id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [20:00:00 21/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [21:00:00 21/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [22:00:00 21/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [23:00:00 21/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [00:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [01:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [02:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [03:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [04:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [05:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [06:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [07:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [07:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [07:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [07:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [07:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [07:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [08:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 22/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 22/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 22/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 22/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 22/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 22/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 22/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 22/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 22/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 22/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [08:00:00 22/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 22/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 22/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 22/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 22/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 22/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 22/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 22/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 22/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 22/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 22/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 22/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 22/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:00:00 22/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [08:00:00 22/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 22/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 22/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 22/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 22/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 22/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 22/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 22/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 22/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [08:00:00 22/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 22/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 22/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 22/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 22/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 22/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 22/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:30:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 67 rs: Manual st: NotStopd
t0: [08:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [08:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [08:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [08:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [08:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [08:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [08:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:30:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [09:00:00 22/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [09:00:00 22/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [09:00:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 22/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [09:00:00 22/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [09:00:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [09:00:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 22/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [09:00:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [09:00:00 22/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [09:00:00 22/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 22/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [09:00:00 22/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [09:00:00 22/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 22/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 22/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 22/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [09:00:00 22/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 22/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 632 u1: ml/B st: NotStopd t0: [09:00:00 22/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:00:00 22/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [09:00:00 22/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [09:00:00 22/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [09:00:00 22/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 22/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 22/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [09:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [09:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [09:00:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [09:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [09:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [09:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [09:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [09:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/12/2010] tf: [17:05:00 31/12/2010] dt: 13445 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:30:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 87 rs: Manual st: NotStopd
t0: [10:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [10:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [10:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [10:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [10:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [10:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [10:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:12:00 22/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [10:12:00 22/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [09:57:00 22/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 63.5 rs: Final st: NotStopd t0: [09:57:00 22/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 63.5 rs: Final st: NotStopd
t0: [11:00:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [11:00:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [11:00:00 22/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Trach Mask st: NotStopd t0: [11:00:00 22/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [11:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [11:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [11:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [11:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [11:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [11:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [11:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [11:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:30:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:30:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:30:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [11:30:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:30:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [11:30:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [11:30:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [11:30:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:30:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:30:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [11:30:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 22/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 22/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 22/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 22/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 22/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 22/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 22/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 22/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16.2 u1: cmH2O st: NotStopd t0: [12:00:00 22/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [12:00:00 22/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 22/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 22/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 22/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 22/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Brown v2: Thick st: NotStopd t0: [12:00:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 22/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 749 u1: ml/B st: NotStopd t0: [12:00:00 22/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 22/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 22/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 22/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 22/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 22/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
pt: TPN tf: [09:00:00 28/12/2010] pt: Unit Dose rt: IV fr: Q3-4H:PRN m1: Hydromorphone v1: 0.25-0.5 u1: mg
t0: [09:00:00 22/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Strong st: NotStopd t0: [09:00:00 22/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Level el: 0 cu: C-SICU cg: RN v1: Unable to score st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Level/Response el: 0 cu: C-SICU cg: RN v1: Unable to score st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:30:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Level (Rest) el: 0 cu: C-SICU cg: RN v1: Unable to score st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [11:30:00 22/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [11:30:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:30:00 22/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [12:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 22/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 22/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 22/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 22/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 22/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 22/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [12:00:00 22/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 22/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 22/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 22/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 22/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 22/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 22/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 22/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 22/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 22/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 22/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 22/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 22/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 22/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [12:00:00 22/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 22/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 22/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 22/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 22/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 22/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 22/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 22/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [12:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [12:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [12:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [12:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [12:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [12:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:25:00 22/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.7 u1: ng rs: Final st: NotStopd
t0: [13:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [13:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 22/12/2010] id: TPN 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [13:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [13:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [13:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [13:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [13:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 22/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 22/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 22/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 22/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 22/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [12:00:00 22/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 22/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [14:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [14:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 22/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 22/12/2010] tf: [17:05:00 31/12/2010] dt: 13145 id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [14:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [14:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [14:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [14:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [14:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [14:00:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [14:30:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:30:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:30:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:30:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:30:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:30:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [14:30:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:30:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:30:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:30:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [15:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [15:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [15:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [15:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [15:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 37.125 vu: ml t0: [15:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [15:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [15:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 22/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd
t0: [15:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.23 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 22/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 22/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 22/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 22/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 22/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 22/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 22/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 22/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 22/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [16:00:00 22/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 22/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 22/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 22/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [16:00:00 22/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 22/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 732 u1: ml/B st: NotStopd t0: [16:00:00 22/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 22/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 22/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 22/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 22/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 22/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 22/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 22/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 22/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 22/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 22/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 22/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 22/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 22/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 22/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 22/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 22/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 22/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 22/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 22/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 22/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 22/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 22/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 22/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 22/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 22/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 22/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 22/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 22/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 22/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:00:00 22/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [16:00:00 22/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 22/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 22/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 22/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 22/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 22/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [16:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [16:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 38.8125 vu: ml t0: [16:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [16:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [16:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 22/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 22/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 22/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [17:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [17:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [17:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [17:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 38.8125 vu: ml t0: [17:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [17:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [17:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 22/12/2010] id: INV#2Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 22/12/2010] id: INV Line#2 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 22/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 22/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 22/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [17:00:00 22/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [16:00:00 22/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 22/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [17:00:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 22/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [17:00:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 22/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [17:00:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [14:00:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd t0: [17:30:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 176 rs: Manual st: NotStopd
t0: [17:30:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:30:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:30:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:30:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:30:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [15:30:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:30:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [15:30:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:30:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:30:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 22/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [16:00:00 22/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [16:15:00 22/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [16:30:00 22/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [17:00:00 22/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd
t0: [15:30:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:30:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [15:30:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:30:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 22/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [18:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 22/12/2010] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 22/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [18:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
io: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 100 ru: ml/hr
t0: [18:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 41.7 vu: ml t0: [18:00:00 22/12/2010] tf: [23:00:00 25/12/2010] dt: 4620 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [18:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [18:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [18:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [18:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
id: TPN w/Lipids el: 1 cu: C-SICU cg: RN io: TPN w/Lipids 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [19:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [19:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [19:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [19:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [19:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [19:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [19:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [19:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [19:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [19:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 22/12/2010] id: INV Line#2 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:21:00 22/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:21:00 22/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:21:00 22/12/2010] id: Cuff Pressure-Airway el: 0 cu: C-SICU cg: RRT u1: cmH2O st: NotStopd t0: [20:21:00 22/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:21:00 22/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:21:00 22/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:21:00 22/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:21:00 22/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:21:00 22/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.3 u1: Deg. C st: NotStopd t0: [20:21:00 22/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:21:00 22/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:21:00 22/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:21:00 22/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:21:00 22/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [20:21:00 22/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:21:00 22/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:21:00 22/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:21:00 22/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:21:00 22/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:21:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:21:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [20:21:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:21:00 22/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:21:00 22/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:21:00 22/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:21:00 22/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:21:00 22/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:21:00 22/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:21:00 22/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 22/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 22/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 22/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 22/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 22/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 22/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 22/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 22/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 22/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 22/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 22/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 22/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 22/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 22/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 22/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 22/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 22/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 22/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 22/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 22/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 22/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 22/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 22/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [20:00:00 22/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [20:00:00 22/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 22/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 22/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 22/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 22/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 22/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd t0: [20:00:00 22/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 22/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 22/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 22/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 22/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 22/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 22/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 22/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [20:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [20:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [20:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [20:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [20:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 110 ap: none
t0: [20:45:00 22/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.13 rs: Final st: NotStopd
t0: [20:00:00 22/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [20:00:00 22/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:30:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 154 rs: Manual st: NotStopd t0: [21:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [21:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [21:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [21:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [21:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [21:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [21:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [20:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:30:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 22/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 22/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 22/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [20:00:00 22/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd
t0: [20:39:00 22/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 64.5 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 64.5 rs: Final st: NotStopd
t0: [20:39:00 22/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [20:39:00 22/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [22:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [22:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [22:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [22:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [22:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [22:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [22:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 22/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [22:00:00 22/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [23:00:00 22/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 22/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 22/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 22/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 22/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 22/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 22/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 22/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 22/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 22/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 22/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 22/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 22/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 22/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 22/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 22/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 22/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 22/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [23:00:00 22/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [23:00:00 22/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 22/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 22/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 22/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 22/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 22/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 22/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [23:00:00 22/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [23:00:00 22/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [23:00:00 22/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [23:00:00 22/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [23:00:00 22/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [23:00:00 22/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 1292.3 ap: none
t0: [01:00:00 23/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [01:00:00 23/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [01:00:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 23/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 23/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:00:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 23/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.3 u1: Deg. C st: NotStopd t0: [01:00:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [01:00:00 23/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:00:00 23/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 23/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:00:00 23/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.5 u1: L/min st: NotStopd t0: [01:00:00 23/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 23/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 23/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:00:00 23/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:00:00 23/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [01:00:00 23/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [01:00:00 23/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:00:00 23/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [01:00:00 23/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [01:00:00 23/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [01:00:00 23/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 23/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:30:00 22/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 129 rs: Manual st: NotStopd t0: [00:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 23/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [00:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 23/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 23/12/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 23/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 23/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 23/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 23/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 23/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 23/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 23/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 23/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 23/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 23/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 23/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 23/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 23/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 23/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [00:00:00 23/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 23/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 23/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 23/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 23/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 23/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 23/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [00:00:00 23/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 23/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 23/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 23/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 23/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 23/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 23/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 23/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 23/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 23/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 23/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 23/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd t0: [00:00:00 23/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [01:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [01:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 23/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [01:00:00 23/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [00:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [00:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [00:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [00:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [00:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [00:00:00 23/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 500 vu: ml t0: [01:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [01:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [01:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [01:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [01:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [01:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [01:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 1100 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 160 ap: none
t0: [00:00:00 23/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 23/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [02:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [02:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [02:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [02:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [02:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [02:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [02:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:55:00 23/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [02:55:00 23/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [02:55:00 23/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [02:55:00 23/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [02:55:00 23/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 123 u1: mmHg rs: Final st: NotStopd t0: [02:55:00 23/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd
t0: [02:00:00 23/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 23/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 23/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 23/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 23/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 23/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 23/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 23/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 23/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 128 rs: Manual st: NotStopd t0: [03:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [03:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 23/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [03:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [03:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [03:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [03:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [03:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [03:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 23/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2620.45 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2300 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 6505.45 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: C-SICU cg: RN cv: 675 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 771 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 4634.45 ap: none t0: [23:00:00 23/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 1871 ap: none t0: [23:00:00 23/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 118801 ap: carryForward
t0: [02:40:00 23/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.3 u1: % rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 2.89 u1: /mic l rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.6 rs: Final st: NotStopd
t0: [02:40:00 23/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 65.4 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 65.4 rs: Final st: NotStopd
t0: [02:40:00 23/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd
t0: [04:00:00 23/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 23/12/2010] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 23/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 23/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 23/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [04:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 23/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [04:00:00 23/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [04:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [04:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [04:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [04:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [04:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [04:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:40:00 23/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.5 u1: ng rs: Final st: NotStopd
t0: [02:40:00 23/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd
t0: [04:00:00 23/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 23/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 23/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 23/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 23/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 23/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 23/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 23/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 23/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 23/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 23/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 23/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 23/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 23/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [04:00:00 23/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 23/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 23/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 23/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 23/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 23/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 23/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [04:00:00 23/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 23/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 23/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 23/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 23/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 23/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 23/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 23/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 23/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 23/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 23/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 23/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/12/2010] id: Behavior el: 0 cu: C-SICU cg: RN v1: Withdrawn st: NotStopd t0: [04:00:00 23/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 23/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 23/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 23/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 23/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 23/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 23/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 23/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 23/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 23/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 23/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 23/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [05:00:00 23/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 23/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [05:00:00 23/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [05:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 23/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 23/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 23/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 23/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [05:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [05:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [05:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [05:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [05:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [05:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [05:38:00 23/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [05:38:00 23/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:38:00 23/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:38:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:38:00 23/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:38:00 23/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:38:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:38:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:38:00 23/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [05:38:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [05:38:00 23/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [05:38:00 23/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:38:00 23/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:38:00 23/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.7 u1: L/min st: NotStopd t0: [05:38:00 23/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:38:00 23/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:38:00 23/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:38:00 23/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:38:00 23/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:38:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:38:00 23/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 765 u1: ml/B st: NotStopd t0: [05:38:00 23/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:38:00 23/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:38:00 23/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:38:00 23/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:38:00 23/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:38:00 23/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 23/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [06:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [06:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [06:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [06:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [06:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [06:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml t0: [06:00:00 23/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [06:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:30:00 23/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [06:30:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 23/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [06:00:00 23/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [07:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [07:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [07:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [07:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [07:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [07:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3.5 vu: ml t0: [07:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [07:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [07:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [07:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 23/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [08:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 23/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 23/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 23/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 23/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 23/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 23/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 23/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 23/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 23/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 23/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [08:00:00 23/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 23/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 23/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 23/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 23/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 23/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 23/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 23/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 23/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 23/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 23/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 23/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 23/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 23/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 23/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [08:00:00 23/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 23/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 23/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [08:00:00 23/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 23/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 23/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 23/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 23/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Black v2: Loose st: NotStopd t0: [08:00:00 23/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [08:00:00 23/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 23/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 23/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 23/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 23/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 23/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 23/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 23/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 23/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 23/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 23/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [08:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [08:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [08:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 42.1875 vu: ml t0: [08:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [08:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 65 vu: ml
t0: [08:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 23/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 23/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 23/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 23/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 23/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 23/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 23/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 23/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 23/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 21 u1: L/min st: NotStopd t0: [08:00:00 23/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 23/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 23/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 23/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [08:00:00 23/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 23/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 23/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 23/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 716 u1: ml/B st: NotStopd t0: [08:00:00 23/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 23/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 23/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 23/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 23/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 23/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:31:00 23/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [08:31:00 23/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd
t0: [08:17:00 23/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [08:17:00 23/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [08:17:00 23/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 67.5 rs: Final st: NotStopd t0: [08:17:00 23/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [08:17:00 23/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [08:17:00 23/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 67.5 rs: Final st: NotStopd
t0: [09:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [09:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [09:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [09:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [09:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [09:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml t0: [09:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [09:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 30 vu: ml
t0: [09:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 23/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 106 rs: Manual st: NotStopd
t0: [09:00:00 23/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [09:00:00 23/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [09:29:00 23/12/2010] id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [09:15:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:15:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:15:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [09:15:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:15:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [09:15:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:15:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [09:15:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:15:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:15:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 23/12/2010] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [09:45:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:45:00 23/12/2010] id: NBP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [09:45:00 23/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [09:45:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:45:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [09:45:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [09:45:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:45:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:45:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [10:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [10:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [10:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 23/12/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [10:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [10:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [10:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 23/12/2010] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 375 vu: ml t0: [10:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [10:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [10:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 53.5781 vu: ml t0: [10:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [10:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 30 vu: ml
t0: [09:15:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:15:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:45:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
pt: TPN
t0: [11:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [11:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [11:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [11:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [11:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [11:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 23/12/2010] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 375 vu: ml t0: [11:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [11:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [11:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 59.0625 vu: ml t0: [11:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [11:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vo: 30 vu: ml
t0: [11:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/12/2010] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 750 ap: none
t0: [10:00:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [10:00:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:00:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [10:00:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [10:00:00 23/12/2010] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [10:00:00 23/12/2010] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [11:00:00 23/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [11:00:00 23/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [11:00:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 23/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:00:00 23/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:00:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 23/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [11:00:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [11:00:00 23/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [11:00:00 23/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 23/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [11:00:00 23/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.6 u1: L/min st: NotStopd t0: [11:00:00 23/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 23/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 23/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [11:00:00 23/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:00:00 23/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 23/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [11:00:00 23/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 23/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [11:00:00 23/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 23/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [11:00:00 23/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 23/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [11:00:00 23/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 102 rs: Manual st: NotStopd t0: [12:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [12:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [12:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [12:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 59.0625 vu: ml t0: [12:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [12:00:00 23/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: RN ai: 443 vu: ml st: Stopped
t0: [12:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 23/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 23/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 23/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 23/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 23/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 23/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 23/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 23/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 23/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 23/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 23/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 23/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [12:00:00 23/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 23/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 23/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 23/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 23/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 23/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 23/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 23/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 23/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 23/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 23/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 23/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 23/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 23/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [12:00:00 23/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 23/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 23/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [12:00:00 23/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 23/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 23/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 23/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [12:00:00 23/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 23/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 23/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 23/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 23/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 23/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 23/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 23/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 23/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 23/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 23/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 23/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 23/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 23/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 23/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 2 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [13:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [13:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [13:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [13:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [13:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 59.0625 vu: ml t0: [13:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [13:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:37:00 23/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd
t0: [13:37:00 23/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [13:37:00 23/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [13:30:00 23/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.3 u1: % rs: Final st: NotStopd
t0: [14:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [14:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [14:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [14:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [14:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/12/2010] tf: [17:05:00 31/12/2010] dt: 11705 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [14:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [14:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 59.0625 vu: ml t0: [14:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [14:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [15:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [15:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [15:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [15:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 59.0625 vu: ml t0: [15:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [15:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:40:00 23/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 80 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd
t0: [16:00:00 23/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 23/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 23/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 23/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 23/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 23/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 23/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 23/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 23/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.1 u1: L/min st: NotStopd t0: [16:00:00 23/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 23/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 23/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 23/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [16:00:00 23/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 23/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 641 u1: ml/B st: NotStopd t0: [16:00:00 23/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 23/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 23/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 23/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 23/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 23/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [16:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [16:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [16:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [16:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [16:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:40:00 23/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1471 rs: Final st: NotStopd
t0: [15:00:00 23/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [16:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [16:00:00 23/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 23/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 23/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 23/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 23/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 23/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 23/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 23/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 23/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 23/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 23/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 23/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 23/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 23/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [16:00:00 23/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 23/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 23/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 23/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 23/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 23/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 23/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 23/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 23/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 23/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler st: NotStopd t0: [16:00:00 23/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 23/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 23/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 23/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 23/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 23/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 23/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 23/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 23/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 23/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 23/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 23/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 23/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 23/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 23/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 100 rs: Manual st: NotStopd
t0: [16:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [17:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [17:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [17:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [17:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [17:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml t0: [17:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [17:00:00 23/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [17:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 23/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [16:00:00 23/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 23/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 23/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 23/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [17:00:00 23/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 23/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 23/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 23/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 23/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 23/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 23/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [18:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 23/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [18:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [18:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [18:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [18:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [18:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [18:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 50.625 vu: ml t0: [18:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [18:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 23/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 23/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 23/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 23/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd
t0: [18:24:00 23/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.95 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [18:24:00 23/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.4 rs: Final st: NotStopd
t0: [18:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 23/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 23/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 23/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 23/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 23/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 23/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 23/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 23/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:00:00 23/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:00:00 23/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 23/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [20:00:00 23/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 23/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 23/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 23/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 23/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 23/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 23/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [20:00:00 23/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 23/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 23/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 23/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 23/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 23/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 23/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [20:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [20:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 200 vu: ml t0: [20:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 101.25 vu: ml t0: [20:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [20:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:07:00 23/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [21:07:00 23/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [22:00:00 23/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 23/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [22:00:00 23/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 200 vu: ml t0: [22:00:00 23/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [22:00:00 23/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 101.25 vu: ml t0: [22:00:00 23/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [02:40:00 23/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:40:00 23/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd
t0: [20:00:00 23/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 23/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 23/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [20:00:00 23/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 23/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 23/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 23/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 23/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 23/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 23/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 23/12/2010] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 103 u1: kg st: NotStopd t0: [22:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.289778 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 24/12/2010] id: Respalor Tube Feeding el: 1 cu: C-SICU cg: -1 ai: 443 vo: 0 st: D/C'd
t0: [22:00:00 23/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 150 vu: ml t0: [00:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [00:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 200 vu: ml t0: [00:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [00:00:00 24/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 97.8 vu: ml t0: [00:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [22:00:00 23/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [22:00:00 23/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [23:00:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [23:00:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 23/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [23:00:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 23/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:30:00 23/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [23:30:00 23/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 23/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 23/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:30:00 23/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:30:00 23/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:30:00 23/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:30:00 23/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:30:00 23/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:30:00 23/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:30:00 23/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:30:00 23/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.26 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 23/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:30:00 23/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.26 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 24/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 240 ap: none
t0: [00:00:00 24/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:00:00 24/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 24/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 24/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 24/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 24/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 24/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 24/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [00:00:00 24/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [00:00:00 24/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 24/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [00:00:00 24/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 24/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 24/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:00:00 24/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [00:00:00 24/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 24/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 24/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 24/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 24/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 24/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 24/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [01:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.26 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:38:00 24/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [02:38:00 24/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [02:00:00 24/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd
t0: [02:00:00 24/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 69.4 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.3 u1: % rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 69.4 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.37 u1: /mic l rs: Final st: NotStopd
t0: [02:00:00 24/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25.5 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 25.5 rs: Final st: NotStopd
t0: [21:00:00 23/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [21:00:00 23/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [21:00:00 23/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [21:00:00 23/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [21:00:00 23/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 23/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 23/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [21:00:00 23/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 23/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [21:00:00 23/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [21:00:00 23/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 23/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 23/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 23/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [22:00:00 23/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [22:00:00 23/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 23/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [22:00:00 23/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 23/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 23/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [22:00:00 23/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 23/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 23/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 23/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 23/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [22:00:00 23/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [22:00:00 23/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [22:00:00 23/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [22:00:00 23/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 23/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 23/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [22:00:00 23/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 23/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 23/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 23/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [22:00:00 23/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 23/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 23/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [22:00:00 23/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 23/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 23/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 23/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [02:00:00 24/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [02:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [02:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 24/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [02:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [02:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 24/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [02:00:00 24/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [02:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 24/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [02:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 24/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [02:00:00 24/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [02:00:00 24/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [02:00:00 24/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 24/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [02:00:00 24/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 24/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [02:00:00 24/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [02:00:00 24/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 24/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [02:00:00 24/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 24/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 24/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 24/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 24/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [02:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 24/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [02:00:00 24/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 24/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [02:00:00 24/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [02:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 24/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [02:00:00 24/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 24/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 24/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 24/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [02:00:00 24/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 24/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [02:00:00 24/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 24/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [03:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [03:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 21 vu: ml t0: [03:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 300 vu: ml t0: [03:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 5.5 vu: ml t0: [03:00:00 24/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 131.625 vu: ml t0: [03:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml
t0: [02:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.26 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.26 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 24/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.8 u1: ng rs: Final st: NotStopd
t0: [02:00:00 24/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.98 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.98 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.98 rs: Final st: NotStopd
t0: [04:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.24 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RRT ai: 107 vo: 5 vu: ml t0: [04:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RRT ai: 117 vo: 7 vu: ml t0: [04:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RRT ai: -1 vo: 100 vu: ml t0: [04:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RRT ai: 209 vo: 2 vu: ml t0: [04:00:00 24/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RRT ai: 210 vo: 43.875 vu: ml t0: [04:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RRT ai: 111 vo: 5 vu: ml
t0: [03:27:00 24/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [03:27:00 24/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 128 rs: Final st: NotStopd
t0: [04:00:00 24/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [04:00:00 24/12/2010] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 36.2776 u1: units st: NotStopd t0: [04:00:00 24/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 24/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 24/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 24/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 24/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 24/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 24/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 24/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [04:00:00 24/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [04:00:00 24/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 24/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 24/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.9 u1: L/min st: NotStopd t0: [04:00:00 24/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 24/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 24/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 24/12/2010] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 36.2776 u1: units st: NotStopd t0: [04:00:00 24/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 24/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 24/12/2010] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:00:00 24/12/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.634 u1: L st: NotStopd t0: [04:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 24/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 801 u1: ml/B st: NotStopd t0: [04:00:00 24/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 24/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 24/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 24/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 24/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 24/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [05:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [05:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [05:00:00 24/12/2010] id: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 2 cu: C-SICU cg: RN ai: 210 vo: 40.5 vu: ml t0: [05:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [05:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 24/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [02:00:00 24/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd
t0: [02:00:00 24/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1552 rs: Final st: NotStopd
t0: [00:00:00 24/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 24/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 24/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 24/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 24/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [06:00:00 24/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [06:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [06:00:00 24/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 24/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [06:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 24/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 24/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 24/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [06:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 24/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [06:00:00 24/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [06:00:00 24/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 24/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [06:00:00 24/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [06:00:00 24/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 24/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [06:00:00 24/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed v2: Erythema st: NotStopd t0: [06:00:00 24/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 24/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [06:00:00 24/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 24/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 24/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 24/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [06:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 24/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 24/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [06:00:00 24/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 24/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 24/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [06:00:00 24/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 24/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 24/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 24/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [06:00:00 24/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 24/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [06:00:00 24/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 24/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 24/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 24/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 24/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 24/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 24/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 24/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 24/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 24/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 24/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 24/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 24/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 24/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [08:00:00 24/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 24/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 24/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 24/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 24/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 24/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 868 u1: ml/B st: NotStopd t0: [08:00:00 24/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 24/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 24/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 24/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 24/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 24/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
id: Dopamine el: 200 cu: C-SICU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
tf: [10:00:00 27/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Dopamine HCl v1: 400 u1: mg m2: NS v2: 250 u2: ml
id: D5W el: 2 cu: C-SICU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 21 vu: ml t0: [08:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 300 vu: ml t0: [08:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [08:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml t0: [08:00:00 24/12/2010] tf: [17:05:00 31/12/2010] dt: 10625 id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 111.375 vu: ml
t0: [08:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:19:00 24/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.07 rs: Final st: NotStopd t0: [08:19:00 24/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [08:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 24/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 24/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 24/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 24/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [08:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.21 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:45:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:45:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:45:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:45:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:45:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:45:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:45:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:45:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:45:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:45:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:45:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.21 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:45:00 24/12/2010] tf: [17:05:00 31/12/2010] dt: 10580 id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 24/12/2010] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [09:00:00 24/12/2010] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [09:00:00 24/12/2010] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [08:00:00 24/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 24/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 24/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 24/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 24/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [08:00:00 24/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 24/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [09:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 24/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [09:00:00 24/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 6 st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [09:00:00 24/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 24/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 24/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [09:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [09:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/12/2010] tf: [17:05:00 31/12/2010] dt: 10565 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [09:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [09:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 1.6875 vu: ml t0: [09:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [09:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [09:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [09:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 35.4375 vu: ml
t0: [09:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
id: Levophed-k el: 106 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions am: 16 du: mcgkgmin rt: IV Drip
t0: [10:00:00 24/12/2010] id: Inc Drainage/Amt #1 el: 0 cu: C-SICU cg: -1 st: D/C'd
io: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ra: 27 ru: ml/hr
pt: TPN
id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [09:30:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:30:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:30:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 24/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [09:30:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:30:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:30:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [09:30:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:30:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:30:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [09:30:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:30:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:30:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:30:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:45:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:45:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:45:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:45:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:45:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:45:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [09:45:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [09:45:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:45:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:45:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 24/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [10:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 24/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [10:00:00 24/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [10:00:00 24/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 24/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [10:00:00 24/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 24/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [10:00:00 24/12/2010] id: Inc Closure/Appear#1 el: 0 cu: C-SICU cg: RN v1: Healed st: NotStopd t0: [10:00:00 24/12/2010] id: Incision/Wound #1 el: 0 cu: C-SICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [10:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 24/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 24/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 24/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 24/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [10:00:00 24/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [10:00:00 24/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [10:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 24/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 24/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [10:00:00 24/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 24/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [10:00:00 24/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [10:00:00 24/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [10:00:00 24/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [10:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [10:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [10:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [10:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [09:30:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.24 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:45:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:30:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:30:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:30:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:30:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:30:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 24/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [11:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 24/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 24/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 38.8125 vu: ml nb: 1 t0: [11:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [11:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [11:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [11:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml nb: 1 t0: [11:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [11:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 26.1562 vu: ml
t0: [10:30:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 24/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 24/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 24/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 24/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 24/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 24/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 24/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 24/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 24/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 24/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 24/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 24/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 24/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.9 u1: L/min st: NotStopd t0: [12:00:00 24/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 24/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 24/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 24/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 24/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 24/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 792 u1: ml/B st: NotStopd t0: [12:00:00 24/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 24/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 24/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 24/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 24/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 24/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 24/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 24/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 24/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 24/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 24/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [12:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 24/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 24/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 24/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.1667 u1: Deg. C st: NotStopd t0: [12:00:00 24/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.3 u1: Deg. F st: NotStopd t0: [12:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [12:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [12:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 16.875 vu: ml t0: [12:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [12:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [12:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml
t0: [12:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [13:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [13:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 16.875 vu: ml t0: [13:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [13:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [13:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [13:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml
t0: [13:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:32:00 24/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [13:32:00 24/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [13:09:00 24/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [13:09:00 24/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:09:00 24/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:09:00 24/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd
t0: [13:09:00 24/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 80.1 rs: Final st: NotStopd t0: [13:09:00 24/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 80.1 rs: Final st: NotStopd
t0: [10:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [14:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 24/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [15:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 24/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 24/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [15:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [15:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 24/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [15:00:00 24/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 24/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [15:00:00 24/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [15:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [15:00:00 24/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [15:00:00 24/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [15:00:00 24/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [15:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [15:00:00 24/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [15:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [15:00:00 24/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [15:00:00 24/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 24/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [15:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [15:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [15:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [15:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 24/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [15:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 24/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 24/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [15:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 24/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [15:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 24/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [15:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 24/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [15:00:00 24/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 24/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [15:00:00 24/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 24/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [15:00:00 24/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [15:00:00 24/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [15:00:00 24/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 14 vu: ml t0: [15:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [15:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 200 vu: ml t0: [15:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [15:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [15:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 50.625 vu: ml
t0: [13:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 24/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 24/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 24/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 24/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 24/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 24/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 24/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 24/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 24/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 24/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 24/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 24/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 24/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.2 u1: L/min st: NotStopd t0: [16:00:00 24/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 24/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 24/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 24/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 24/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 24/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 905 u1: ml/B st: NotStopd t0: [16:00:00 24/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 24/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 24/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 24/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 24/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 24/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 24/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 24/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [16:00:00 24/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [16:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 7 vu: ml t0: [16:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [16:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 100 vu: ml t0: [16:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [16:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 23.625 vu: ml
t0: [16:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [10:00:00 27/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [17:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [17:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [18:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [18:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [18:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [18:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml
t0: [17:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 24/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [18:00:00 24/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [18:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 24/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 24/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 24/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [18:00:00 24/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 24/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 24/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 24/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [18:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 24/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [18:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [18:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 24/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [18:00:00 24/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [18:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 24/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd t0: [18:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [18:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 200 vu: ml nb: 1
t0: [03:27:00 24/12/2010] id: CPK/MB Enzymes el: 0 cu: C-SICU cg: 3161 v1: 9 rs: Final st: NotStopd
t0: [15:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [16:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [17:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd
t0: [18:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 24/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [20:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [20:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 186 vu: ml t0: [20:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [20:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [20:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml
t0: [20:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 24/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 24/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 24/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 24/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 24/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 24/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 24/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 24/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 24/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 24/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 24/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [20:00:00 24/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 24/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 24/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 24/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 24/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 24/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 24/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 24/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 24/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 24/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 24/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 24/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 24/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 24/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 24/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [20:00:00 24/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 24/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 24/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 24/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 24/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 24/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 24/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 24/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 24/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 24/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [03:27:00 24/12/2010] id: CPK Enzymes el: 0 cu: C-SICU cg: 3161 v1: 11 rs: Final st: NotStopd
t0: [21:00:00 24/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [21:00:00 24/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [21:00:00 24/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 24/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [21:00:00 24/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 24/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 24/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 24/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [21:00:00 24/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [21:00:00 24/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [21:00:00 24/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 24/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [21:00:00 24/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [21:00:00 24/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 24/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 24/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 24/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [21:00:00 24/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [21:00:00 24/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [21:00:00 24/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 24/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 707 u1: ml/B st: NotStopd t0: [21:00:00 24/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 24/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 24/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 24/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [21:00:00 24/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 24/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [21:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 24/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 24/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 24/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 24/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 24/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 24/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 24/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 24/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 24/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 24/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 24/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 24/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 24/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 24/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 24/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 24/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 24/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 24/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 24/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 24/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 24/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 24/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 24/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [22:00:00 24/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [22:00:00 24/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 186 vu: ml t0: [22:00:00 24/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 24/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [22:00:00 24/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml
t0: [21:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 24/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 24/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 24/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 24/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1797.02 ap: none t0: [23:00:00 24/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2372 ap: none t0: [23:00:00 24/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 4409.02 ap: none t0: [23:00:00 24/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1168 ap: none t0: [23:00:00 24/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 3241.02 ap: none t0: [23:00:00 24/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 1168 ap: none t0: [23:00:00 24/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 122042 ap: carryForward
t0: [21:00:00 24/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [21:00:00 24/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 24/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 24/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:00:00 25/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 25/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 25/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 25/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 25/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 25/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN st: NotStopd t0: [00:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 25/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 25/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 25/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [00:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 25/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 25/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 25/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 25/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 25/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [00:00:00 25/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 25/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 25/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 25/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 25/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [00:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [00:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 186 vu: ml t0: [00:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [00:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [00:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 47.25 vu: ml
t0: [00:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 25/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 25/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd
t0: [02:10:00 25/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [02:10:00 25/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [02:00:00 25/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.1 u1: % rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.27 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 12.9 rs: Final st: NotStopd
t0: [02:00:00 25/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 169 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 69 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 169 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 130 rs: Final st: NotStopd
t0: [01:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [01:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [02:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [03:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [03:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [03:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [03:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [03:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 279 vu: ml t0: [03:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [03:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml t0: [03:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 70.875 vu: ml
t0: [01:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.28 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.29 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 25/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 25/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [02:00:00 25/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24.2 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1514 rs: Final st: NotStopd t0: [02:00:00 25/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24.2 rs: Final st: NotStopd
t0: [02:00:00 25/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 90 rs: Final st: NotStopd
t0: [05:00:00 25/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [05:00:00 25/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:00:00 25/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 25/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 25/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:00:00 25/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 25/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 25/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 25/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [05:00:00 25/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [05:00:00 25/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [05:00:00 25/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 25/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.2 u1: L/min st: NotStopd t0: [05:00:00 25/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 25/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 25/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 25/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [05:00:00 25/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:00:00 25/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [05:00:00 25/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [05:00:00 25/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 977 u1: ml/B st: NotStopd t0: [05:00:00 25/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 25/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 25/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 25/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 25/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 25/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
tf: [10:00:00 25/12/2010] pt: TPN
t0: [03:00:00 25/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [03:00:00 25/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [04:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 25/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 25/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [04:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 25/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 25/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 25/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 25/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 25/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 25/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 25/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [04:00:00 25/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 25/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 25/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 25/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 25/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [05:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 25/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [06:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 25/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 25/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [07:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [07:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 24 vu: ml t0: [07:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 27 vu: ml t0: [07:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 372 vu: ml t0: [07:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 8 vu: ml t0: [07:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 20 vu: ml t0: [07:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 97.875 vu: ml
t0: [04:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.29 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.29 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
t0: [08:00:00 25/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 25/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 25/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 25/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 25/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 25/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 25/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 25/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 25/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 25/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 25/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 25/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.2 u1: L/min st: NotStopd t0: [08:00:00 25/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 25/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 25/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 25/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 25/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [08:00:00 25/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [08:00:00 25/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 25/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 25/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 25/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 25/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 25/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 25/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 64.2 rs: Final st: NotStopd t0: [07:00:00 25/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 64.2 rs: Final st: NotStopd
t0: [09:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [09:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 25/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 25/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [09:00:00 25/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [09:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [09:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [09:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 186 vu: ml t0: [09:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [09:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [09:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml
t0: [09:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [09:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [09:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [09:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [09:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [09:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [09:00:00 25/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [09:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [09:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [09:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [09:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 25/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [09:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [09:00:00 25/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 25/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [09:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [09:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [09:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 25/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 25/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 25/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [09:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [09:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [09:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [06:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [06:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [06:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [06:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [09:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [09:00:00 25/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 25/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 25/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 25/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
pt: TPN
t0: [10:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [10:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [10:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [10:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 93 vu: ml t0: [10:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [10:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 27 vu: ml
t0: [10:00:00 25/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 141 rs: Manual st: NotStopd
t0: [12:00:00 25/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 25/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 25/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 25/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 25/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 25/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 25/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 25/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 25/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 25/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 25/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 25/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.8 u1: L/min st: NotStopd t0: [12:00:00 25/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 25/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 25/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 25/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 25/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [12:00:00 25/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 636 u1: ml/B st: NotStopd t0: [12:00:00 25/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 25/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 25/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 25/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 25/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 25/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [11:51:00 25/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [11:51:00 25/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [12:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.32 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [12:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [12:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 186 vu: ml t0: [12:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [12:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [12:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 54 vu: ml
t0: [12:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 25/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [09:00:00 25/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 25/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 25/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [12:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [12:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [12:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 25/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [12:30:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:30:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:30:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:30:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:30:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:30:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [12:30:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:30:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:30:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [12:30:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd
t0: [12:30:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 25/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [15:00:00 25/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [15:00:00 25/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [15:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [15:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [15:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [15:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 279 vu: ml t0: [15:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [15:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml t0: [15:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 88.5 vu: ml
t0: [12:00:00 25/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [15:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [15:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [15:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [15:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 25/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [15:00:00 25/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 25/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [15:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [15:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 25/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 25/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [15:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [15:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [15:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [15:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [15:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 25/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [15:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [15:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 25/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 25/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [12:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [15:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [15:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [15:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [15:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 25/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [15:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 25/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [16:00:00 25/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 25/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 25/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 25/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 25/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 25/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 25/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 25/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 25/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 25/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 25/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 25/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.4 u1: L/min st: NotStopd t0: [16:00:00 25/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 25/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 25/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 25/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:00:00 25/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [16:00:00 25/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 737 u1: ml/B st: NotStopd t0: [16:00:00 25/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 25/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 25/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 25/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 25/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 25/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [18:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 25/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 25/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 25/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 25/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [13:00:00 25/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 25/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 25/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [18:30:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 17.5 vu: ml t0: [18:30:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 21 vu: ml t0: [18:30:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 23.625 vu: ml t0: [18:30:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 325.5 vu: ml t0: [18:30:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 7 vu: ml t0: [18:30:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 17.5 vu: ml t0: [18:30:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 105 vu: ml
t0: [18:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [18:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 25/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [18:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [18:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [18:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 25/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [18:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [18:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vu: ml nb: 1
t0: [18:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [18:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [18:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [18:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [18:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [18:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd
tf: [21:00:00 31/12/2010] pt: Unit Dose rt: OU fr: PRN m1: Lacri-Lube Oint v1: 1 u1: Appl
t0: [20:00:00 25/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 25/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 25/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 25/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 25/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 25/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 25/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 25/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 25/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:00:00 25/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8/ st: NotStopd t0: [20:00:00 25/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [20:00:00 25/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 25/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.6 u1: L/min st: NotStopd t0: [20:00:00 25/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 25/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 25/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 25/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [20:00:00 25/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [20:00:00 25/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 25/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 25/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 776 u1: ml/B st: NotStopd t0: [20:00:00 25/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 25/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 25/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 25/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 25/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 25/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 25/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [20:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [20:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 9 vu: ml t0: [20:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 10.125 vu: ml t0: [20:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 138 vu: ml t0: [20:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 7.5 vu: ml t0: [20:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 45 vu: ml
t0: [20:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 25/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 25/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 25/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 25/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 25/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 25/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 25/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 25/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [20:00:00 25/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 25/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 25/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 25/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 25/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 25/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 25/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 25/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 25/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 25/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 25/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [21:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [21:00:00 25/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [21:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [21:00:00 25/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [21:00:00 25/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 25/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 25/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 25/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [21:00:00 25/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Abrasion st: NotStopd t0: [21:00:00 25/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [21:00:00 25/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 25/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [21:00:00 25/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 25/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [21:00:00 25/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [21:00:00 25/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 25/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 25/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 25/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [21:00:00 25/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 25/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 25/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 25/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 25/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [21:00:00 25/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [21:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [21:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [21:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [21:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [21:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [21:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [21:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 45 ap: none
t0: [22:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [22:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [22:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [22:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [22:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [22:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 25/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 92 rs: Manual st: NotStopd
t0: [22:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 25/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 25/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [23:00:00 25/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 25/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 25/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 25/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 25/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 25/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 25/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [23:00:00 25/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 25/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 25/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 25/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [23:00:00 25/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 25/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 25/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 25/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 25/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [23:00:00 25/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [23:00:00 25/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [23:00:00 25/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 25/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [23:00:00 25/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [23:00:00 25/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 52.75 cv: 2006.25 ap: none t0: [23:00:00 25/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 92 cv: 2320.5 ap: none t0: [23:00:00 25/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 144.75 cv: 4371.75 ap: none t0: [23:00:00 25/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 32 cv: 622 ap: none
t0: [23:00:00 25/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [23:00:00 25/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 26/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 26/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 104 rs: Manual st: NotStopd
t0: [23:00:00 25/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 175 vu: ml t0: [00:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [00:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [00:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [00:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [00:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [00:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 207 cv: 207 ap: none t0: [23:00:00 25/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -62.25 cv: -62.25 ap: none t0: [23:00:00 25/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 175 cv: 175 ap: none t0: [23:00:00 25/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -62.25 cv: 3574.75 ap: none t0: [23:00:00 25/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 207 cv: 797 ap: none t0: [23:00:00 25/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -62.25 cv: 125617 ap: carryForward
t0: [00:00:00 26/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 26/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 26/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 26/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 26/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 26/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 26/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 26/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 26/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 26/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 26/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 26/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [00:00:00 26/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 26/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 26/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 26/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 26/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 26/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 26/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 26/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 26/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 26/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 26/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 26/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 26/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 26/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 26/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 26/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [00:00:00 26/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 26/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [01:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [01:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 26/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 26/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 26/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [01:00:00 26/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [01:00:00 26/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [01:00:00 26/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [01:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [01:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [01:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [01:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [01:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [01:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:25:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [01:25:00 26/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [01:25:00 26/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:25:00 26/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:25:00 26/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:25:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:25:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:25:00 26/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [01:25:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [01:25:00 26/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:25:00 26/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [01:25:00 26/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:25:00 26/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 19.9 u1: L/min st: NotStopd t0: [01:25:00 26/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:25:00 26/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:25:00 26/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:25:00 26/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [01:25:00 26/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:25:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [01:25:00 26/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [01:25:00 26/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:25:00 26/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 884 u1: ml/B st: NotStopd t0: [01:25:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:25:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [01:25:00 26/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [01:25:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [01:25:00 26/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:25:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [02:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [02:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [02:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [02:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [02:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [02:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [02:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [03:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [03:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [03:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [03:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [03:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [03:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [03:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 26/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 26/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 26/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2241.38 ap: none t0: [23:00:00 26/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2116 ap: none t0: [23:00:00 26/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 4557.38 ap: none t0: [23:00:00 26/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 676 ap: none t0: [23:00:00 26/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 3631.38 ap: none t0: [23:00:00 26/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 926 ap: none t0: [23:00:00 26/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 129248 ap: carryForward
t0: [02:00:00 26/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 26/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 26/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 26/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 26/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 26/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 26/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 26/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [03:21:00 26/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [03:21:00 26/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [03:21:00 26/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [03:21:00 26/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [03:21:00 26/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [03:21:00 26/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd
t0: [03:21:00 26/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [03:21:00 26/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd
t0: [03:12:00 26/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.27 u1: /mic l rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd
t0: [03:12:00 26/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 67 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd
t0: [03:12:00 26/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 79.6 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24.2 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1745 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 79.6 rs: Final st: NotStopd t0: [03:12:00 26/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 24.2 rs: Final st: NotStopd
t0: [03:00:00 26/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 26/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [04:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 26/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [04:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [04:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [05:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [05:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [05:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 26/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 26/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [05:00:00 26/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [05:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [04:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [04:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [04:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [04:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [04:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml t0: [05:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [05:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [05:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [05:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [05:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [05:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [04:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 26/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 26/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 26/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 26/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 26/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 26/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 26/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 26/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 26/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 26/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 26/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [04:00:00 26/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 26/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 26/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 26/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 26/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 26/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 26/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 26/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 26/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 26/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 26/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 26/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 26/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 26/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [04:00:00 26/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 26/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Aquaphor st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red/Purple st: NotStopd t0: [04:00:00 26/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [04:00:00 26/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 26/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 26/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
t0: [04:00:00 26/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 26/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [05:00:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [05:00:00 26/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [05:00:00 26/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 26/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 26/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:00:00 26/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 26/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [05:00:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [05:00:00 26/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [05:00:00 26/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:00:00 26/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 26/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20 u1: L/min st: NotStopd t0: [05:00:00 26/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 26/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 26/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 26/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:00:00 26/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 26/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 26/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 26/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 614 u1: ml/B st: NotStopd t0: [05:00:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 26/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 26/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [06:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [06:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [06:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [06:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [06:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [06:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [06:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:30:00 26/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:30:00 26/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [05:30:00 26/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [05:30:00 26/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:30:00 26/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:30:00 26/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [05:30:00 26/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:30:00 26/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [05:30:00 26/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:30:00 26/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [05:30:00 26/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
pt: TPN
t0: [08:00:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 26/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 26/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 26/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 26/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 26/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 26/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 26/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 26/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 26/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.7 u1: L/min st: NotStopd t0: [08:00:00 26/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 26/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 26/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 26/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [08:00:00 26/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [08:00:00 26/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [08:00:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 26/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 26/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [08:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [08:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [08:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [09:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [09:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 26/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 26/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [09:00:00 26/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [09:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [09:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [09:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 276 vu: ml t0: [09:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [09:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 15 vu: ml t0: [09:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 90 vu: ml
t0: [08:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 26/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [09:00:00 26/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [09:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 26/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [09:00:00 26/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [09:00:00 26/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 26/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [09:00:00 26/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 26/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [09:00:00 26/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [09:00:00 26/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 26/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 26/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [09:00:00 26/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [09:00:00 26/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 26/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [09:00:00 26/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [09:00:00 26/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [09:00:00 26/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 26/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [09:00:00 26/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 26/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [09:00:00 26/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 26/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 26/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [09:00:00 26/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 26/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [09:00:00 26/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Small st: NotStopd t0: [09:00:00 26/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Aquaphor st: NotStopd t0: [09:00:00 26/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 26/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [09:00:00 26/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 26/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [09:00:00 26/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Cyanotic st: NotStopd t0: [09:00:00 26/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Cyanotic st: NotStopd t0: [09:00:00 26/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 26/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 26/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 26/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 26/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 26/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [09:00:00 26/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [09:00:00 26/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 26/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 26/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 26/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 26/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Cyanotic st: NotStopd t0: [09:00:00 26/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Cyanotic st: NotStopd t0: [09:00:00 26/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [09:00:00 26/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [09:00:00 26/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 26/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 26/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 26/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 26/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [09:00:00 26/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [09:00:00 26/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 26/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 26/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Brown v2: Clear st: NotStopd t0: [09:00:00 26/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 26/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 26/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 26/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [09:00:00 26/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 26/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [09:00:00 26/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 26/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [09:00:00 26/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 26/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [09:00:00 26/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 26/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 26/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 26/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 26/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 26/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 26/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 26/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 26/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 26/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.9 u1: L/min st: NotStopd t0: [12:00:00 26/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 26/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 26/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 26/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [12:00:00 26/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 95 u1: % st: NotStopd t0: [12:00:00 26/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [12:00:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 26/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 26/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 9 st: NotStopd t0: [10:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [10:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 2 st: NotStopd t0: [10:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 26/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 26/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 26/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [10:00:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [10:00:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [10:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [11:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [12:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 26/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [13:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [13:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 26/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [13:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 26/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [13:00:00 26/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 26/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [13:00:00 26/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [13:00:00 26/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [13:00:00 26/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [13:00:00 26/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [13:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 26/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 26/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [13:00:00 26/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [13:00:00 26/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [13:00:00 26/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [13:00:00 26/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [13:00:00 26/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 26/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [13:00:00 26/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [13:00:00 26/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 26/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 26/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 26/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [13:00:00 26/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [13:00:00 26/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [13:00:00 26/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [13:00:00 26/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [13:00:00 26/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [13:00:00 26/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 26/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [11:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [11:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [11:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [11:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [11:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml t0: [13:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [13:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [13:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [13:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [13:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [13:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [10:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 178 rs: Manual st: NotStopd t0: [12:00:00 26/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 178 rs: Manual st: NotStopd
t0: [13:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [15:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [15:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [15:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [15:00:00 26/12/2010] tf: [00:00:00 27/12/2010] dt: 540 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [15:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [15:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [15:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [14:00:00 28/12/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 16 dn: 1 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [16:00:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 26/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 26/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 26/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 26/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 26/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 26/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 26/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [16:00:00 26/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 26/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 20.7 u1: L/min st: NotStopd t0: [16:00:00 26/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 26/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 26/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 26/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [16:00:00 26/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 26/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [16:00:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 26/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 26/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [17:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [17:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [17:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml t0: [17:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [17:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [17:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [17:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [17:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 26/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [15:00:00 26/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [17:00:00 26/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [17:00:00 26/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 26/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [17:00:00 26/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 26/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [17:00:00 26/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 26/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [17:00:00 26/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 26/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 26/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 26/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 26/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [17:00:00 26/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [17:00:00 26/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 26/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [17:00:00 26/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 26/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [17:00:00 26/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [17:00:00 26/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [17:00:00 26/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:00:00 26/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 105 rs: Manual st: NotStopd t0: [18:00:00 26/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 26/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 26/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 26/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 26/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 26/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 26/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [18:00:00 26/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 26/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 26/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 26/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 26/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 26/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 26/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [18:00:00 26/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 26/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 26/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 26/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [18:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 26/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 26/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 26/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 26/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 26/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [18:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [18:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 10.125 vu: ml t0: [18:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [18:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [18:00:00 26/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 250 vu: ml t0: [18:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [18:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 26/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 250 ap: none
t0: [17:57:00 26/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.25 rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.25 rs: Final st: NotStopd
t0: [17:57:00 26/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [17:57:00 26/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [19:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [19:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [19:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [19:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [19:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [20:00:00 26/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 26/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 26/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 26/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 26/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 26/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 26/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 26/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 26/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:00:00 26/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [20:00:00 26/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [20:00:00 26/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 26/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 17.9 u1: L/min st: NotStopd t0: [20:00:00 26/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 26/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 26/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 26/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [20:00:00 26/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 26/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 26/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 26/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 663 u1: ml/B st: NotStopd t0: [20:00:00 26/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 26/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 26/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 26/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 26/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 26/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 6 vu: ml t0: [20:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [20:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [20:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [20:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml
t0: [20:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 26/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 200 ap: none
t0: [20:00:00 26/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 26/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 26/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 26/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [22:00:00 26/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [22:00:00 26/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [22:00:00 26/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 26/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [22:00:00 26/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [22:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 26/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 90 rs: Manual st: NotStopd t0: [22:00:00 26/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 90 rs: Manual st: NotStopd
t0: [22:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 26/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 26/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 26/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 26/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [22:00:00 26/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 26/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 26/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 26/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 26/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 26/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [22:00:00 26/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [22:00:00 26/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [22:00:00 26/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd
t0: [20:00:00 26/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [20:00:00 26/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 26/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 26/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [22:00:00 26/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Congested st: NotStopd t0: [22:00:00 26/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 26/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [22:00:00 26/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 26/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [22:00:00 26/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 26/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 26/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 26/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 26/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 26/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 26/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 26/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 26/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [22:00:00 26/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [22:00:00 26/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 26/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [22:00:00 26/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 26/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [22:00:00 26/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 26/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 26/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 26/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 26/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 26/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [22:00:00 26/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 26/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 26/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 26/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 26/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 26/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 26/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 26/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 26/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [22:00:00 26/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 26/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [00:00:00 27/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:00:00 27/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [00:00:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [00:00:00 27/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [00:00:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.3 u1: L/min st: NotStopd t0: [00:00:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 27/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [00:00:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [00:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 27/12/2010] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 892 u1: ml/B st: NotStopd t0: [00:00:00 27/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 27/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 27/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 27/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [00:30:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:30:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:30:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:30:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:30:00 27/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:30:00 27/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:30:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:30:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:30:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:30:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:30:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:30:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:30:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [00:30:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:30:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 27/12/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 90 ap: none
t0: [23:00:00 26/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 26/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 26/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [23:00:00 26/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [23:00:00 26/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [23:00:00 26/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 26/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 26/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 44 u1: BPM st: NotStopd t0: [23:00:00 26/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 26/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 27/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [02:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [02:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [00:00:00 27/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [00:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [00:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 27/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [00:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml t0: [02:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [02:00:00 27/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [02:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [02:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [02:00:00 27/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [02:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [23:00:00 27/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 27/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 24.4375 cv: 24.4375 ap: none t0: [23:00:00 27/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 32.4375 cv: 1843.5 ap: none t0: [23:00:00 27/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 92 cv: 2300 ap: none t0: [23:00:00 27/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 124.438 cv: 4233.5 ap: none t0: [23:00:00 27/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1015 ap: none t0: [23:00:00 27/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 24.4375 cv: 2818.5 ap: none t0: [23:00:00 27/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 100 cv: 1415 ap: none t0: [23:00:00 27/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 24.4375 cv: 132017 ap: carryForward
t0: [00:00:00 27/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 27/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [03:00:00 27/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [03:00:00 27/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [03:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:53:00 27/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.23 rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.23 rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [02:53:00 27/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd
t0: [02:40:00 27/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.4 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.4 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.8 u1: % rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.13 u1: /mic l rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 15.4 rs: Final st: NotStopd
t0: [02:40:00 27/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.2 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 26.4 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: ALT Enzymes el: 0 cu: C-SICU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: AST Enzymes el: 0 cu: C-SICU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Amylase Enzymes el: 0 cu: C-SICU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.2 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 26.4 rs: Final st: NotStopd
t0: [02:40:00 27/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 191 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: Alk. Phosphate Enzymes el: 0 cu: C-SICU cg: 3161 v1: 1847 rs: Final st: NotStopd t0: [02:40:00 27/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 191 rs: Final st: NotStopd
t0: [03:30:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:40:00 27/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 105 rs: Final st: NotStopd
t0: [04:31:00 27/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [02:40:00 27/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.3 u1: ng rs: Final st: NotStopd
t0: [04:30:00 27/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 46.6667 u1: ml/cmH st: NotStopd t0: [04:30:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:30:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:30:00 27/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2 st: NotStopd t0: [04:30:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:30:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:30:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [04:30:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:30:00 27/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [04:30:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:30:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.2 u1: L/min st: NotStopd t0: [04:30:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:30:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 27/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:30:00 27/12/2010] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [04:30:00 27/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:30:00 27/12/2010] id: Rec.Breath Time(sec) el: 0 cu: C-SICU cg: RRT v1: 60 st: NotStopd t0: [04:30:00 27/12/2010] id: Recruit Breath el: 0 cu: C-SICU cg: RRT v1: Other st: NotStopd t0: [04:30:00 27/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [04:30:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:30:00 27/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:30:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 93 u1: % st: NotStopd t0: [04:30:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [04:30:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:30:00 27/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 699 u1: ml/B st: NotStopd t0: [04:30:00 27/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:30:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CMV st: NotStopd t0: [04:30:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 27/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 50 vu: ml t0: [04:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [04:00:00 27/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [04:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [04:00:00 27/12/2010] tf: [20:00:00 29/12/2010] dt: 3840 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [04:00:00 27/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [04:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [04:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 26/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 27/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [02:00:00 27/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Congested st: NotStopd t0: [02:00:00 27/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 27/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [02:00:00 27/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 27/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 27/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 27/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 27/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 27/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 27/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 27/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [02:00:00 27/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 27/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [02:00:00 27/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [02:00:00 27/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 27/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [02:00:00 27/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 27/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 27/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 27/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 27/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 27/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 27/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 27/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [02:00:00 27/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 27/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pale st: NotStopd t0: [02:00:00 27/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 27/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [02:00:00 27/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 27/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [02:00:00 27/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 27/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 27/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [02:00:00 27/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [02:00:00 27/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [02:00:00 27/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 27/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [02:00:00 27/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 27/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [02:00:00 27/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 27/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
t0: [22:00:00 26/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [03:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [04:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd
t0: [05:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [05:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 129 u1: BPM st: NotStopd t0: [05:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Supravent Tachy st: NotStopd t0: [05:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [05:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:05:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:05:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:05:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [05:05:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:05:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:05:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:05:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:05:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [05:05:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:05:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:05:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:05:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [05:05:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [05:05:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:05:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:05:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:05:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:05:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 27/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 147 rs: Manual st: NotStopd
t0: [05:30:00 27/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [05:30:00 27/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd
t0: [06:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 12 vu: ml t0: [06:00:00 27/12/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 2 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml t0: [06:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [06:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [06:00:00 27/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml
t0: [06:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:20:00 27/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [05:20:00 27/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [05:20:00 27/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 96.7 rs: Final st: NotStopd t0: [05:20:00 27/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [05:20:00 27/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [05:20:00 27/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 96.7 rs: Final st: NotStopd
t0: [03:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 27/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 27/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [06:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 27/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 27/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 27/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 27/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 27/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 27/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [06:00:00 27/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 27/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 27/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 27/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 27/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 27/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 27/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 27/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [06:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 27/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 27/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 27/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 27/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [07:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [07:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [07:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 27/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 27/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 58.3333 u1: ml/cmH st: NotStopd t0: [08:00:00 27/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 27/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18.9 u1: L/min st: NotStopd t0: [08:00:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 27/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 27/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 27/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 27/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 27/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [08:00:00 27/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 27/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 27/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 27/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 27/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 27/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 27/12/2010] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 111 vo: 0 st: D/C'd
t0: [08:00:00 27/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [08:00:00 27/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 27/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 27/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 27/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 27/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 27/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 27/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 27/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 27/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 27/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 27/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 27/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 27/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 27/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 27/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [08:00:00 27/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 27/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 27/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 27/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 27/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 27/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 27/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 27/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 27/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 27/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 27/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 27/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 27/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 27/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 27/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 27/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 27/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 27/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 27/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 27/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 27/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 27/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 27/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 27/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 27/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 27/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 11 vu: ml t0: [08:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [08:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [08:00:00 27/12/2010] tf: [17:05:00 31/12/2010] dt: 6305 id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 60 vu: ml t0: [08:00:00 27/12/2010] tf: [17:05:00 31/12/2010] dt: 6305 id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [08:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:16:00 27/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [08:16:00 27/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [08:16:00 27/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [08:16:00 27/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [08:16:00 27/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [08:16:00 27/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd
t0: [08:16:00 27/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [08:16:00 27/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd
t0: [09:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [09:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:05:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:05:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:05:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:05:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:05:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:05:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Supravent Tachy st: NotStopd t0: [09:05:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:05:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [09:05:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:05:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:05:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:05:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [09:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [09:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml t0: [09:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [09:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:05:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:05:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:05:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:05:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [09:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 27/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [09:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [09:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 27/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [09:45:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [09:45:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:45:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [09:45:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Supravent Tachy st: NotStopd t0: [09:45:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:45:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:45:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:45:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:45:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:45:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [10:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Supravent Tachy st: NotStopd t0: [10:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 27/12/2010] id: Procedures el: 0 cu: C-SICU cg: RN v1: EKG st: NotStopd t0: [10:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [10:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml t0: [10:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [10:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:58:00 27/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -11 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [09:58:00 27/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [08:00:00 27/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 27/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 27/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [10:15:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:15:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [10:15:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:15:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:15:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:15:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:15:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:15:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:15:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:15:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:15:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:15:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:15:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:15:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
id: Levophed-k el: 109 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions am: 32 du: mcgkgmin rt: IV Drip id: Dopamine el: 101 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ra: 15 ru: ml/hr
pt: TPN tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [11:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [11:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [11:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30 vu: ml nb: 1 t0: [11:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml nb: 1
t0: [11:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 27/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN st: NotStopd t0: [12:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [12:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 27/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 27/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 27/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Product/Congest st: NotStopd t0: [12:00:00 27/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 27/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 27/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 27/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 27/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 27/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 27/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 27/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 27/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 27/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 27/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 27/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 27/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 27/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [12:00:00 27/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 27/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 27/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 27/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 27/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 27/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 27/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 27/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 27/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 27/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 27/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 27/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 27/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 27/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 27/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 27/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 27/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [12:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 27/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 27/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 27/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 27/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 27/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 27/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [12:00:00 27/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 27/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 27/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [12:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15 vu: ml t0: [12:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [12:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.355556 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 90 rs: Manual st: NotStopd
t0: [12:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 27/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 27/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 53.8462 u1: ml/cmH st: NotStopd t0: [12:00:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:00:00 27/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.3 u1: L/min st: NotStopd t0: [12:00:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 27/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 27/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [12:00:00 27/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 27/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 885 u1: ml/B st: NotStopd t0: [12:00:00 27/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 27/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 27/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 27/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 27/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [13:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [13:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15 vu: ml t0: [13:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [13:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 4, 12, 20 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml
t0: [12:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [14:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [14:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [14:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [14:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [14:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:17:00 27/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [13:17:00 27/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [13:17:00 27/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 77.8 rs: Final st: NotStopd t0: [13:17:00 27/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [13:17:00 27/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [13:17:00 27/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 77.8 rs: Final st: NotStopd
t0: [14:24:00 27/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [14:24:00 27/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [15:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [15:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [15:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [15:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [15:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [15:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [15:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [15:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 27/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 27/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 27/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 27/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 27/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [16:00:00 27/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 27/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 27/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [16:00:00 27/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 27/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 27/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 27/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 27/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 27/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 27/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 27/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 27/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 27/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 27/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 27/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 27/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 27/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 27/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [15:15:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:15:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:15:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:15:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:15:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [15:15:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:15:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [15:15:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:15:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:15:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:15:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:45:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:45:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:45:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:45:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:45:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:45:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [15:45:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:45:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:45:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:45:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:15:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:45:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:45:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [16:00:00 27/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 27/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 27/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonprod/Congest st: NotStopd t0: [16:00:00 27/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 27/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN st: NotStopd t0: [16:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 27/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 27/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 27/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 27/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 27/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 27/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 27/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 27/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 27/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 27/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool st: NotStopd t0: [16:00:00 27/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [16:00:00 27/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 27/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 27/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 27/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 27/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 27/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 27/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [16:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 27/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [16:00:00 27/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm st: NotStopd t0: [16:00:00 27/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 27/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 27/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 27/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 27/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 27/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 27/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 27/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [16:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [16:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [16:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.293 vu: ml t0: [16:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [16:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:30:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:30:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:30:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [16:30:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [16:30:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [16:30:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:30:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:30:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:30:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:30:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:30:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:30:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:30:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 27/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 27/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [16:00:00 27/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:00:00 27/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [16:00:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [16:00:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 27/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 27/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [16:00:00 27/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [16:00:00 27/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 27/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 748 u1: ml/B st: NotStopd t0: [16:00:00 27/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 27/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 27/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 27/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 27/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 27/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [17:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [17:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [17:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [17:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [17:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [17:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [17:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 27/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 27/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [18:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [18:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.6094 vu: ml t0: [18:00:00 27/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 300 vu: ml t0: [18:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [18:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 27/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [18:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml nb: 1
t0: [18:24:00 27/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.25 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.25 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [18:24:00 27/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [20:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 129 u1: BPM st: NotStopd t0: [20:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [20:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [20:00:00 27/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [20:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:05:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:05:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:05:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:05:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:05:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 123 u1: BPM st: NotStopd t0: [20:05:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:05:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:05:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [20:05:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:05:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:05:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:05:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:10:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:10:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:10:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:10:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:10:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:10:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:10:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:10:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [20:10:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:10:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:10:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:10:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [20:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [20:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [20:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [20:05:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:05:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:10:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:10:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 27/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [21:00:00 27/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [21:00:00 27/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [21:00:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:00:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 27/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.0 st: NotStopd t0: [21:00:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [21:00:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [21:00:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [21:00:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [21:00:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:00:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 27/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [21:00:00 27/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [21:00:00 27/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 27/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [21:00:00 27/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 761 u1: ml/B st: NotStopd t0: [21:00:00 27/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:00:00 27/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 27/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 27/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 27/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [21:00:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 27/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 27/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 27/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [22:00:00 27/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 27/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 27/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 27/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 27/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 27/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 27/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 27/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [22:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [22:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 30.375 vu: ml t0: [22:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [22:00:00 27/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 27/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 27/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 27/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 27/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [22:00:00 27/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonprod/Congest st: NotStopd t0: [22:00:00 27/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 27/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [22:00:00 27/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [22:00:00 27/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 27/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 27/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 27/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 27/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 27/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 27/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 27/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 27/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 27/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [22:00:00 27/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 27/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 27/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [22:00:00 27/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [22:00:00 27/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [22:00:00 27/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [22:00:00 27/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [22:00:00 27/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 27/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [22:00:00 27/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 27/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [22:00:00 27/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [22:00:00 27/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 27/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [22:00:00 27/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 27/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 27/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 27/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 27/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 27/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [22:00:00 27/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 27/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 27/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 27/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 27/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 27/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 27/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 27/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 27/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 27/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 27/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 27/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 27/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 27/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 27/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 27/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 27/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [22:00:00 27/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 27/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 27/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 27/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [22:00:00 27/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 27/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [22:00:00 27/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [23:00:00 27/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [23:00:00 27/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [23:00:00 27/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [23:00:00 27/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 27/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:00:00 27/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [23:00:00 27/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2 st: NotStopd t0: [23:00:00 27/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:00:00 27/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:00:00 27/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [23:00:00 27/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [23:00:00 27/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [23:00:00 27/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [23:00:00 27/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [23:00:00 27/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [23:00:00 27/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [23:00:00 27/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 27/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [23:00:00 27/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [23:00:00 27/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [23:00:00 27/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [23:00:00 27/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [23:00:00 27/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 27/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [23:00:00 27/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [23:00:00 27/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 27/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 751 u1: ml/B st: NotStopd t0: [23:00:00 27/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [23:00:00 27/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:00:00 27/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [23:00:00 27/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [23:00:00 27/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [23:00:00 27/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [23:00:00 27/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [23:00:00 27/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [00:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [01:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [01:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [02:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [02:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 6 u1: BPM st: NotStopd t0: [02:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 28/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [02:00:00 28/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [02:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 27/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 27/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [23:00:00 27/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [23:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [23:00:00 27/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [23:00:00 27/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [00:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [00:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [00:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [00:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [01:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [01:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [01:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [01:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [02:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [02:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [02:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1875 vu: ml t0: [02:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [01:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 27/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 400 ap: none t0: [23:00:00 28/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 28/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -100 cv: -100 ap: none t0: [23:00:00 28/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2988.34 ap: none t0: [23:00:00 28/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2116 ap: none t0: [23:00:00 28/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 5104.34 ap: none t0: [23:00:00 28/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 665 ap: none t0: [23:00:00 28/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -100 cv: 4189.34 ap: none t0: [23:00:00 28/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 100 cv: 915 ap: none t0: [23:00:00 28/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -100 cv: 136206 ap: carryForward
t0: [02:51:00 28/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [02:51:00 28/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -11 rs: Final st: NotStopd t0: [02:51:00 28/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [02:51:00 28/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [02:51:00 28/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [02:51:00 28/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd
t0: [02:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [02:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [02:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [02:00:00 28/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 28/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 28/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 28/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [02:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [02:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 28/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [02:30:00 28/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 66.8 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 66.8 rs: Final st: NotStopd
t0: [02:30:00 28/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 183 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 173 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.8 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 183 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 173 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 27.7 u1: % rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 5.8 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.6 rs: Final st: NotStopd
t0: [02:30:00 28/12/2010] id: Total Bili Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23.5 rs: Final st: NotStopd t0: [02:30:00 28/12/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23.5 rs: Final st: NotStopd
t0: [02:30:00 28/12/2010] id: Digoxin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 1.8 u1: ng rs: Final st: NotStopd
t0: [02:51:00 28/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: RN v1: 1.02 rs: Final st: NotStopd t0: [03:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [03:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [04:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [04:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [04:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [04:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 29.5312 vu: ml t0: [04:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [00:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:45:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:45:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:45:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:45:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:45:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:45:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:45:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:45:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [04:45:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:45:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:45:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.34 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:45:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:45:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:45:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:45:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [04:00:00 28/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [04:00:00 28/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 28/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 28/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 28/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2 st: NotStopd t0: [04:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 28/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [04:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [04:00:00 28/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [04:00:00 28/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 28/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [04:00:00 28/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 28/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [04:00:00 28/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 28/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 28/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 28/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 28/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 28/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 28/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 28/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 723 u1: ml/B st: NotStopd t0: [04:00:00 28/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 28/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 28/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 28/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 28/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 28/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 28/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 28/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd
t0: [02:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [02:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN u1: points st: NotStopd t0: [02:00:00 28/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [02:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [02:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [02:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [02:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [02:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN st: NotStopd t0: [02:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 28/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 28/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 28/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 28/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 28/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 28/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [06:00:00 28/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [06:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [06:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [06:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [06:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [06:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [06:00:00 28/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [06:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [06:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [06:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [06:00:00 28/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 28/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [06:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN st: NotStopd t0: [06:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [06:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 28/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 28/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [06:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [06:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [06:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [06:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 29.2148 vu: ml t0: [06:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [06:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [08:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 28/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [08:00:00 28/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 28/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 28/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 28/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 28/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 28/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 28/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 28/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 28/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.9 u1: L/min st: NotStopd t0: [08:00:00 28/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 28/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 28/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 28/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 28/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 28/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [08:00:00 28/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 28/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 28/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 28/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [08:00:00 28/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 28/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 28/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [08:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [08:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [08:00:00 28/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [08:00:00 28/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 28/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [08:00:00 28/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [08:00:00 28/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 28/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 28/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 28/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 28/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 28/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 28/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 28/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [08:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [08:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [08:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 29.5312 vu: ml t0: [08:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [08:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 28/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 28/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:30:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:30:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:30:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [08:30:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:30:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:30:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:30:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:30:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [08:30:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:30:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:30:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:30:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:30:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:30:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:30:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [09:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Runs Vtach st: NotStopd t0: [09:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [09:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [09:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [09:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [09:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 14.7656 vu: ml t0: [09:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [09:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:54:00 28/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 113 u1: mmHg rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.5 rs: Final st: NotStopd
id: KCL el: 100 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
pt: TPN tf: [09:00:00 30/12/2010] pt: Unit Dose rt: IV fr: Q2-3H:PRN m1: Hydromorphone v1: 0.5-2 u1: mg
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [10:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [10:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:30:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:54:00 28/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: RN v1: 7.25 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 148 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: RN v1: 7.25 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 148 rs: Final st: NotStopd t0: [09:54:00 28/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 3.6 rs: Final st: NotStopd
t0: [10:00:00 28/12/2010] tf: [17:05:00 31/12/2010] dt: 4745 id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [10:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [10:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 14.7656 vu: ml t0: [10:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [10:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [10:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [08:00:00 28/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 28/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 28/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [10:00:00 28/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 28/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 28/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [10:00:00 28/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 28/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 28/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:30:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:30:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [10:30:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:30:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:30:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:30:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [10:30:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:30:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:30:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:30:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [10:30:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:30:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:30:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:40:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:40:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [10:40:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:40:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:40:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:40:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:40:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [10:40:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:40:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:40:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:40:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 87 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:40:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:40:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:40:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:40:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:40:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:40:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:40:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:40:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:40:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [10:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [10:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [10:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [10:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [10:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 28/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [10:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [10:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 28/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [10:00:00 28/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [10:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [10:00:00 28/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [10:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [10:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [10:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [10:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [10:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [10:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [10:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [10:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [10:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [10:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [10:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [11:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [11:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [11:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [11:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [11:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [11:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [11:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 14.7656 vu: ml t0: [11:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [11:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:30:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:30:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:30:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:30:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [11:30:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:30:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [11:30:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:30:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:30:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:30:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 41 u1: BPM st: NotStopd t0: [11:30:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:30:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [12:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 28/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [12:00:00 28/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 28/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 28/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 28/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [12:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 14.7656 vu: ml t0: [12:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [12:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 28/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [12:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 28/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 28/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 28/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 28/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [12:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [12:00:00 28/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [12:00:00 28/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 28/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [12:00:00 28/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [12:00:00 28/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 28/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 28/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 28/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 28/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 28/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [12:00:00 28/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 28/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 28/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 28/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 28/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 28/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 28/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 28/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 28/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 28/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:00:00 28/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 28/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 28/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.3 u1: L/min st: NotStopd t0: [12:00:00 28/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 28/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 28/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [12:00:00 28/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 28/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 28/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [12:00:00 28/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 28/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 28/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 28/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [13:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [13:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Runs Vtach st: NotStopd t0: [13:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [13:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [13:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [13:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [13:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 14.7656 vu: ml t0: [13:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [13:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:22:00 28/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd
t0: [13:22:00 28/12/2010] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [11:30:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [13:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:22:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 146 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 146 rs: Final st: NotStopd
t0: [12:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:22:00 28/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: RN v1: 7.26 rs: Final st: NotStopd t0: [13:22:00 28/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: RN v1: 7.26 rs: Final st: NotStopd t0: [14:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [14:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [14:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 9 st: NotStopd t0: [14:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [14:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [14:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [14:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [14:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [14:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [14:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 28/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [14:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [14:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [14:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 28/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [14:00:00 28/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [14:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [14:00:00 28/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [14:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [14:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [14:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [14:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 2 st: NotStopd t0: [14:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [14:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [14:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [14:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 28/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 28/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [14:00:00 28/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [14:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [14:00:00 28/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [14:00:00 28/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 28/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [14:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [14:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [14:00:00 28/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [14:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [14:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 28/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [14:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [14:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 14.7656 vu: ml t0: [14:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [14:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:30:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:30:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [14:30:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:30:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:30:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:30:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [14:30:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:30:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:30:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [14:30:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:30:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:30:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:30:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.36 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:30:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:35:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:35:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [14:35:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:35:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:35:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:35:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:35:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:35:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [14:35:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:35:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [14:35:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:35:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:35:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:35:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:35:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:35:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:35:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:35:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:30:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 137 rs: Manual st: NotStopd t0: [14:30:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [15:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [15:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [15:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [15:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [15:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.1523 vu: ml t0: [15:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [15:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.37 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:30:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:30:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:30:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:30:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:30:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:30:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [15:30:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:30:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [15:30:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:30:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:30:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:30:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:58:00 28/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: RN v1: 79.4 rs: Final st: NotStopd t0: [12:58:00 28/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: RN v1: 79.4 rs: Final st: NotStopd
t0: [16:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 28/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [16:00:00 28/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 28/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 28/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 28/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 28/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 28/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:00:00 28/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [16:00:00 28/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:00:00 28/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [16:00:00 28/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 28/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 28/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [16:00:00 28/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [16:00:00 28/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 97 u1: % st: NotStopd t0: [16:00:00 28/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [16:00:00 28/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 28/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 28/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 28/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [16:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [16:00:00 28/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 28/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 28/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 28/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [16:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [16:00:00 28/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [16:00:00 28/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 28/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [16:00:00 28/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [16:00:00 28/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 28/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [16:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [16:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 15.8203 vu: ml t0: [16:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [16:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [16:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd
t0: [15:00:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [15:00:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [16:00:00 28/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 28/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.3333 u1: Deg. C st: NotStopd
t0: [16:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 28/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.6 u1: Deg. F st: NotStopd
t0: [17:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [17:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [17:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [17:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 28/12/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [17:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [17:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [17:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [17:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [17:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [17:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [17:00:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [17:00:00 28/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 28/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 28/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 28/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 28/12/2010] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [17:00:00 28/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 28/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 28/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [18:00:00 28/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [18:00:00 28/12/2010] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Grimace Scale st: NotStopd t0: [18:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 9 st: NotStopd t0: [18:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [18:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:00:00 28/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [18:00:00 28/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [18:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [18:00:00 28/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [18:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [18:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [18:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [18:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 28/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [18:00:00 28/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [18:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [18:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 2 st: NotStopd t0: [18:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [18:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [18:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [18:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 28/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [18:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [18:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [18:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [18:00:00 28/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [18:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [18:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [18:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [18:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [18:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [18:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [18:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 28/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 150 vu: ml
t0: [18:15:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:15:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:15:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:15:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:15:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:15:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:15:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:15:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [18:15:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:15:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:15:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:15:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:15:00 28/12/2010] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [18:15:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:15:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:15:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:15:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:15:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:15:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:30:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:30:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:30:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 28/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 151 rs: Manual st: NotStopd t0: [18:30:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:30:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:30:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:30:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [18:30:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:30:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:30:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:30:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:30:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:30:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 28/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 151 rs: Manual st: NotStopd
t0: [18:30:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:30:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:45:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 9 st: NotStopd t0: [18:45:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:45:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:45:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:45:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:45:00 28/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:45:00 28/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:45:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:45:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [18:45:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 8.0 mm st: NotStopd t0: [18:45:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Tracheostomy st: NotStopd t0: [18:45:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 9 v2: 2 st: NotStopd t0: [18:45:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:45:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:45:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:45:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 6 u1: BPM st: NotStopd t0: [18:45:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:45:00 28/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thin st: NotStopd t0: [18:45:00 28/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:45:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RN v1: Yes v2: No st: NotStopd t0: [18:45:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RN v1: #8 st: NotStopd t0: [18:45:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RN v1: Portex st: NotStopd t0: [18:45:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [18:45:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:45:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 28/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 28/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:00:00 28/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 28/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 28/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 28/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 28/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 2 st: NotStopd t0: [20:00:00 28/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 28/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 28/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 28/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:00:00 28/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [20:00:00 28/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 28/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 28/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.6 u1: L/min st: NotStopd t0: [20:00:00 28/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 28/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 28/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [20:00:00 28/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 28/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 28/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 28/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 28/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 28/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 28/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 28/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 726 u1: ml/B st: NotStopd t0: [20:00:00 28/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 28/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 28/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 28/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 28/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 28/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 28/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 28/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [20:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [20:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [21:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [21:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [21:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [21:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 15 vu: ml t0: [21:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 276 vu: ml t0: [21:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [21:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 48.0938 vu: ml t0: [21:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml
t0: [20:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 28/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 28/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [22:00:00 28/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 28/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 28/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 28/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 28/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 28/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [22:00:00 28/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 28/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 28/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 28/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 28/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 28/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [22:00:00 28/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [22:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [22:00:00 28/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [22:00:00 28/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 28/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 28/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 28/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [22:00:00 28/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 28/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 28/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [22:00:00 28/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 28/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 28/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.0556 u1: Deg. C st: NotStopd t0: [22:00:00 28/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.1 u1: Deg. F st: NotStopd t0: [22:00:00 28/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [00:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 29/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:00:00 29/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 29.1667 u1: ml/cmH st: NotStopd t0: [00:00:00 29/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 29/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 29/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 29/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 29/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 2 st: NotStopd t0: [00:00:00 29/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 29/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 29/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 29/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [00:00:00 29/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [00:00:00 29/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 29/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 29/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [00:00:00 29/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 29/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 29/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [00:00:00 29/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 29/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 29/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 29/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 29/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 29/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 29/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 29/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 717 u1: ml/B st: NotStopd t0: [00:00:00 29/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 29/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 29/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 29/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 29/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 29/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 29/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 29/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 28/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [22:00:00 28/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [22:00:00 28/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [22:00:00 28/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 28/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [22:00:00 28/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [22:00:00 28/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 28/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [22:00:00 28/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [22:00:00 28/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 28/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 28/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 28/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 28/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [22:00:00 28/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [22:00:00 28/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 28/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 28/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [22:00:00 28/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [22:00:00 28/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [22:00:00 28/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [22:00:00 28/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 28/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [22:00:00 28/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [22:00:00 28/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 28/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [22:00:00 28/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 28/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 28/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 28/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 28/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [22:00:00 28/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [22:00:00 28/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 28/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 28/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 28/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [22:00:00 28/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 28/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [22:00:00 28/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 28/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 28/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 28/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 28/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 28/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 28/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 29/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [02:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 29/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [02:00:00 29/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [02:00:00 29/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [02:00:00 29/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [02:00:00 29/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 29/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [02:00:00 29/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [02:00:00 29/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 29/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 29/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 29/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [02:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [02:00:00 29/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [02:00:00 29/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 29/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [02:00:00 29/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 29/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 29/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [02:00:00 29/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [02:00:00 29/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [02:00:00 29/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [02:00:00 29/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 29/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [02:00:00 29/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [02:00:00 29/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 29/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 29/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 29/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [02:00:00 29/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [02:00:00 29/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 29/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [02:00:00 29/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [02:00:00 29/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [02:00:00 29/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 29/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 29/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 29/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [03:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 28/12/2010] id: Gastric Nasogastric el: 1 cu: C-SICU cg: RN vo: 100 vu: ml t0: [03:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 25 vu: ml t0: [03:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 25 vu: ml t0: [03:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 460 vu: ml t0: [03:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [03:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 80.1562 vu: ml t0: [03:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 33.75 vu: ml
t0: [02:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 28/12/2010] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN pv: 100 cv: 250 ap: none t0: [23:00:00 29/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 29/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 124.781 cv: 124.781 ap: none t0: [23:00:00 29/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 32.7812 cv: 1636.9 ap: none t0: [23:00:00 29/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN pv: 92 cv: 2300 ap: none t0: [23:00:00 29/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 124.781 cv: 3936.9 ap: none t0: [23:00:00 29/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 243 ap: none t0: [23:00:00 29/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 124.781 cv: 3693.9 ap: none t0: [23:00:00 29/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 243 ap: none t0: [23:00:00 29/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 124.781 cv: 139900 ap: carryForward
t0: [02:00:00 29/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd
t0: [03:23:00 29/12/2010] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [03:23:00 29/12/2010] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [03:23:00 29/12/2010] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [03:23:00 29/12/2010] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 29/12/2010] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 29/12/2010] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.26 rs: Final st: NotStopd
t0: [03:00:00 29/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 27.6 u1: % rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.06 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13.7 rs: Final st: NotStopd
t0: [03:00:00 29/12/2010] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 182 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.4 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 182 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 6.4 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 128 rs: Final st: NotStopd
t0: [03:00:00 29/12/2010] id: PT el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: INR Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: PTT Coags el: 0 cu: C-SICU cg: 3161 v1: 71.8 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: INR (2-4 ref. range) Coags el: 0 cu: C-SICU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: PT(11-13.5) Coags el: 0 cu: C-SICU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [03:00:00 29/12/2010] id: PTT(22-35) Coags el: 0 cu: C-SICU cg: 3161 v1: 71.8 rs: Final st: NotStopd
t0: [03:00:00 29/12/2010] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 107 rs: Final st: NotStopd
t0: [02:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [03:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [04:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [05:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [05:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [05:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [04:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 29/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [04:00:00 29/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [04:00:00 29/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:00:00 29/12/2010] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 29/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 29/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 29/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 29/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 2 st: NotStopd t0: [04:00:00 29/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 29/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 29/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 29/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [04:00:00 29/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:00:00 29/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 29/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 29/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.7 u1: L/min st: NotStopd t0: [04:00:00 29/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 29/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 29/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 29/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 29/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 29/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 29/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 29/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 29/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 29/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 29/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 759 u1: ml/B st: NotStopd t0: [04:00:00 29/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 29/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 29/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 29/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 29/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 29/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 29/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 29/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 29/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [06:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 29/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [06:00:00 29/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [06:00:00 29/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [06:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 29/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [06:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 29/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [06:00:00 29/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [06:00:00 29/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [06:00:00 29/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 29/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 29/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 29/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 29/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [06:00:00 29/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 29/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [06:00:00 29/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 29/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 29/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [06:00:00 29/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [06:00:00 29/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [06:00:00 29/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [06:00:00 29/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 29/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [06:00:00 29/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [06:00:00 29/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 29/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [06:00:00 29/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 29/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [06:00:00 29/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 29/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 29/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [06:00:00 29/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [06:00:00 29/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 29/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Dusky st: NotStopd t0: [06:00:00 29/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 29/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Normal st: NotStopd t0: [06:00:00 29/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 29/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [06:00:00 29/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 29/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [06:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 29/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 29/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 29/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [07:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [07:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [07:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Frequent st: NotStopd t0: [07:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [07:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [07:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [07:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 29/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 29/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 29/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 29/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [08:00:00 29/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 29/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 29/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 29/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [08:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 29/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 29/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 34.8333 u1: Deg. C st: NotStopd t0: [08:00:00 29/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 94.7 u1: Deg. F st: NotStopd t0: [08:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 15 vu: ml t0: [08:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 276 vu: ml t0: [08:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [08:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 48.0938 vu: ml t0: [08:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 20.25 vu: ml
t0: [08:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 29/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 29/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [08:00:00 29/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 29/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 29/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 29/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 2 st: NotStopd t0: [08:00:00 29/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 29/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 29/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 29/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 29/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 29/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 29/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 29/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.9 u1: L/min st: NotStopd t0: [08:00:00 29/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 29/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 29/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 29/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 29/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 29/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [08:00:00 29/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 29/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 29/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 29/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 29/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 29/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 29/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 29/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 29/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 29/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 29/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN st: NotStopd t0: [08:00:00 29/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 29/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 29/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 29/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 29/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 29/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 29/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 29/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 29/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 29/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 29/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 29/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 29/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 29/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 29/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 29/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [08:00:00 29/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 29/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [08:00:00 29/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 29/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 29/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 29/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 29/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 29/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 29/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Mottled st: NotStopd t0: [08:00:00 29/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 29/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Pink st: NotStopd t0: [08:00:00 29/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 29/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 29/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 29/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 29/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 29/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 29/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 29/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 29/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 29/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 29/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 29/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 29/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 124 rs: Manual st: NotStopd
pt: TPN
t0: [09:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [09:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [09:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [09:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [09:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [09:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [09:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:15:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:15:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:15:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:15:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:15:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:15:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:15:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [09:15:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:15:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:15:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:15:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:30:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:30:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:30:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:30:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:30:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [09:30:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:30:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:30:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:30:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:15:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.42 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:15:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:30:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.45 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:45:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:45:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:45:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:45:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [09:45:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:45:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [09:45:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 3 u1: BPM st: NotStopd t0: [09:45:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:45:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:45:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [10:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [10:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [10:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [10:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 17.4023 vu: ml t0: [10:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [10:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 29/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [08:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 29/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [10:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 29/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [10:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 29/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 29/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 29/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [10:00:00 29/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 29/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [11:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [11:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 29/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [11:00:00 29/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [11:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [11:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [11:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [11:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [11:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [11:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 29/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 29/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [12:00:00 29/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 29/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 29/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 29/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 29/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 29/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 29/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 29/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [12:00:00 29/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 29/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [12:00:00 29/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 29/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 29/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 29/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 29/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 673 u1: ml/B st: NotStopd t0: [12:00:00 29/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 29/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 29/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 29/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 29/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 29/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 29/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 29/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
tf: [14:00:00 29/12/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Caspofungin Acetate v1: 50 u1: mg m2: NS v2: 250 u2: ml
t0: [10:00:00 29/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 29/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [10:00:00 29/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [12:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 29/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 29/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 29/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 29/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 29/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 29/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 29/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 29/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 29/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 29/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 29/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 29/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 29/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 29/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 29/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 29/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 29/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 29/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 29/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 29/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [12:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [12:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 29/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 29/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 29/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 29/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 29/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 106 rs: Manual st: NotStopd t0: [12:00:00 29/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [12:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [12:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [12:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 29/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [11:00:00 29/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [13:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:00:00 29/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [13:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [13:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [13:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 29/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 29/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [13:00:00 29/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [13:00:00 29/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [13:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 29/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 29/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [13:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 29/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [13:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 29/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [14:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [14:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [14:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [14:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [14:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 29/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [14:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 29/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Moderate st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [14:00:00 29/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [14:00:00 29/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 29/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [14:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 29/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [14:00:00 29/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 29/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [14:00:00 29/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [14:00:00 29/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [14:00:00 29/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 29/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 8 u1: number st: NotStopd t0: [14:00:00 29/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [14:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [14:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [14:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [14:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [14:00:00 29/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [14:00:00 29/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: Redness st: NotStopd
t0: [13:00:00 29/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [14:00:00 29/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [15:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [15:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 5 u1: BPM st: NotStopd t0: [15:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [15:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [15:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [15:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [15:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [16:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 130 u1: BPM st: NotStopd t0: [16:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [16:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 7 u1: BPM st: NotStopd t0: [16:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 29/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [16:00:00 29/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [16:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [16:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [16:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [16:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [16:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 29/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 29/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.8889 u1: ml/cmH st: NotStopd t0: [16:00:00 29/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 29/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 29/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 29/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 29/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 29/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 29/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 29/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 29/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [16:00:00 29/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 29/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.4 u1: L/min st: NotStopd t0: [16:00:00 29/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 29/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 29/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:00:00 29/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:00:00 29/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [16:00:00 29/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 29/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 29/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 795 u1: ml/B st: NotStopd t0: [16:00:00 29/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 29/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 29/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 29/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 29/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 29/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 29/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 29/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 29/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 29/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [17:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [17:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 29/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Poor st: NotStopd t0: [17:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg st: NotStopd t0: [17:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 29/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 29/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 29/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 29/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [17:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 29/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 29/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 29/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [17:00:00 29/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 29/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [18:00:00 29/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [18:00:00 29/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 29/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 29/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [18:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 29/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [18:00:00 29/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [18:00:00 29/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 29/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [18:00:00 29/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 29/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 29/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [18:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [18:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 29/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 29/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 29/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Large st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [18:00:00 29/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [18:00:00 29/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 29/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [18:00:00 29/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 29/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 29/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [18:00:00 29/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [18:00:00 29/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [18:00:00 29/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 29/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [18:00:00 29/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 29/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [18:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [18:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 29/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 29/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 29/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [18:00:00 29/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 29/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 29/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [18:00:00 29/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 29/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [18:00:00 29/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 29/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 29/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [18:00:00 29/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 29/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [18:00:00 29/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [18:00:00 29/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Moist st: NotStopd t0: [18:00:00 29/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 29/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 8 u1: number st: NotStopd t0: [18:00:00 29/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [18:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [18:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1 vu: ml t0: [18:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [18:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [18:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 29/12/2010] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 93 rs: Manual st: NotStopd
t0: [18:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 29/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 29/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 29/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 29/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 29/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 29/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 29/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 29/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 29/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 29/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 29/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 29/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 29/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 29/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 29/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [20:00:00 29/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 29/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Poor st: NotStopd t0: [20:00:00 29/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 29/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 29/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 29/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 29/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 29/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 29/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 29/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 29/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 29/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:00:00 29/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [20:00:00 29/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 29/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 29/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [20:00:00 29/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 29/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 29/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 29/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 29/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [20:00:00 29/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [20:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 29/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 29/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 29/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [20:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 29/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 29/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 29/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 29/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 29/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [20:00:00 29/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [20:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [20:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [20:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [20:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 29/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 29/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [20:00:00 29/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 29/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 29/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 29/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 29/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 29/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 29/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:00:00 29/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [20:00:00 29/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 29/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 29/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [20:00:00 29/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 29/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 29/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 29/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 29/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 29/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 29/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 29/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 29/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 758 u1: ml/B st: NotStopd t0: [20:00:00 29/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 29/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 29/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 29/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 29/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 29/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 29/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 29/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [21:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [21:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [21:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [21:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [21:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [21:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 29/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 29/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [22:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [22:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 29/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 29/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:00:00 29/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 29/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [22:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [22:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [22:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [22:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [22:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 29/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 29/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [23:00:00 29/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 29/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 29/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 29/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 29/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 29/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 29/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 52 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [23:00:00 29/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [23:00:00 29/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 29/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 29/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 29/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 30/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 30/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 30/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 30/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 30/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 30/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 30/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 30/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 30/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 30/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 30/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 30/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 30/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 30/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Poor st: NotStopd t0: [00:00:00 30/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 30/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [00:00:00 30/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 30/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 30/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 30/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 30/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 30/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 30/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 30/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [00:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [00:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 30/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 30/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 30/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 30/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 30/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 30/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 30/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 30/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 30/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 30/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 30/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [00:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 30/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [00:00:00 30/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 30/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [00:00:00 30/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 30/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [00:00:00 30/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [23:00:00 29/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 29/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 29/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [23:00:00 29/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [23:00:00 29/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml t0: [00:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [00:00:00 30/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [00:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [23:00:00 29/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:45:00 30/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:45:00 30/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [00:45:00 30/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:45:00 30/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:45:00 30/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:45:00 30/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:45:00 30/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2 st: NotStopd t0: [00:45:00 30/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:45:00 30/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:45:00 30/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:45:00 30/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [00:45:00 30/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [00:45:00 30/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:45:00 30/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:45:00 30/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [00:45:00 30/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:45:00 30/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:45:00 30/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:45:00 30/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [00:45:00 30/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:45:00 30/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:45:00 30/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:45:00 30/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:45:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd t0: [00:45:00 30/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 728 u1: ml/B st: NotStopd t0: [00:45:00 30/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:45:00 30/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:45:00 30/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:45:00 30/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:45:00 30/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:45:00 30/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:45:00 30/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:45:00 30/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [01:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [01:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [01:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [01:00:00 30/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [01:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [01:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [01:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [02:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [02:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [02:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 30/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [02:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [02:00:00 30/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [02:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [02:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [02:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 30/12/2010] id: NBP el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [03:00:00 30/12/2010] id: NBP Mean el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [03:00:00 30/12/2010] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: -1 ai: -1 vo: 0 st: D/C'd t0: [03:00:00 30/12/2010] id: Albumin 25% Tube Feeding el: 1 cu: C-SICU cg: -1 ai: -1 vo: 0 st: D/C'd
t0: [02:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [03:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [03:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [03:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [03:00:00 30/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [03:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [03:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [03:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 30/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 1893.97 ap: none t0: [23:00:00 30/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 2116 ap: none t0: [23:00:00 30/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 4009.97 ap: none t0: [23:00:00 30/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 3987.97 ap: carryForward t0: [23:00:00 30/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 143888 ap: carryForward
t0: [04:00:00 30/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 30/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 30/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 30/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 30/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 30/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 30/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 30/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 30/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 30/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 30/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 30/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 30/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 30/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 30/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Poor st: NotStopd t0: [04:00:00 30/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Serous v2: Copious st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 30/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [04:00:00 30/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 30/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 30/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 30/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 30/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [04:00:00 30/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 30/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 30/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [04:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [04:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [04:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 30/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 30/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [04:00:00 30/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 30/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 30/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 30/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 30/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 30/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 30/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [04:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 30/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [04:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 30/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [04:00:00 30/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 30/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [04:00:00 30/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 30/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [04:00:00 30/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [04:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [04:00:00 30/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [04:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [04:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [04:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/12/2010] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:01:00 30/12/2010] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: -1 ai: 209 vo: 0 st: D/C'd
t0: [04:30:00 30/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [04:30:00 30/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [04:30:00 30/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:30:00 30/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 30/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:30:00 30/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:30:00 30/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 30/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:30:00 30/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:30:00 30/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [04:30:00 30/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [04:30:00 30/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:30:00 30/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:30:00 30/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 15.5 u1: L/min st: NotStopd t0: [04:30:00 30/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:30:00 30/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 30/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:30:00 30/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:30:00 30/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 30/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:30:00 30/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:30:00 30/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:30:00 30/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 769 u1: ml/B st: NotStopd t0: [04:30:00 30/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:30:00 30/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:30:00 30/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:30:00 30/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:30:00 30/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:30:00 30/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 30/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:30:00 30/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [05:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [05:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [05:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [05:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [05:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [05:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [05:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [06:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [06:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN st: NotStopd t0: [06:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [06:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [06:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 30/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [06:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [06:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [06:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [06:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/12/2010] id: LLE Temp/Color el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 30/12/2010] id: LUE Temp/Color el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 30/12/2010] id: RLE Temp/Color el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [08:00:00 30/12/2010] id: RUE Temp/Color el: 0 cu: C-SICU cg: -1 st: D/C'd
pt: TPN
t0: [08:00:00 30/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 30/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [08:00:00 30/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 30/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 30/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 30/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 30/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 30/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 30/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 30/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 30/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 30/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [08:00:00 30/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 30/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 30/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 30/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 93 u1: % st: NotStopd t0: [08:00:00 30/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 724 u1: ml/B st: NotStopd t0: [08:00:00 30/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 30/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 30/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 30/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 30/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 30/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 30/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 30/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [08:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 30/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 30/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 30/12/2010] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 30/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 30/12/2010] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 30/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 30/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 30/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 30/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 30/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 30/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 30/12/2010] id: GI#1 Tube PlaceCheck el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 30/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [08:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 30/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 30/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Poor st: NotStopd t0: [08:00:00 30/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Copious st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 30/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 30/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 30/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 30/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 30/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 30/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 30/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 30/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 30/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 30/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 54 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [08:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [08:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 30/12/2010] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 30/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 30/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 30/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 30/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 30/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 30/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 30/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Icteric st: NotStopd t0: [08:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/12/2010] id: WarmingDevice/Status el: 0 cu: C-SICU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [08:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [08:00:00 30/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 30/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 30/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 30/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 30/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [08:00:00 30/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [08:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [08:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [08:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [08:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [09:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [09:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [09:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [09:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [09:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [09:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [09:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [09:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [09:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [10:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [10:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [10:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 30/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Brown v2: Sludge st: NotStopd t0: [10:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [10:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [10:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [10:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 22 ap: none
tf: [14:00:00 29/12/2010] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Caspofungin Acetate v1: 35 u1: mg m2: NS v2: 250 u2: ml tf: [11:00:00 30/12/2010] pt: Unit Dose rt: IV fr: INFUSION m1: Hydromorphone v1: 1-4 u1: mg
t0: [11:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [11:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [11:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [11:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
id: Dilaudid el: 100 cu: C-SICU cg: RN io: D5W 100.0ml + 50mghr Dilaudid IV Drips am: 50 du: mghr rt: IV Drip
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 100.0ml + 50mghr Dilaudid IV Drips vo: 100 du: ml rt: Intravenous Push
t0: [11:00:00 30/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [11:00:00 30/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [11:00:00 30/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [11:00:00 30/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 30/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 30/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 30/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 30/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [11:00:00 30/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [11:00:00 30/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [11:00:00 30/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:00:00 30/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [11:00:00 30/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 30/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 30/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [11:00:00 30/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 30/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 30/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 30/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 30/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 674 u1: ml/B st: NotStopd t0: [11:00:00 30/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [11:00:00 30/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 30/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [11:00:00 30/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 30/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [11:00:00 30/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 30/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [11:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [11:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [11:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 44 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [11:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [11:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 30/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 30/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd
tf: [21:00:00 31/12/2010] pt: IV Piggyback rt: PB fr: ASDIR m1: Hydromorphone-HP v1: 50 u1: mg m2: D5W v2: 100 u2: ml
t0: [12:00:00 30/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 30/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 30/12/2010] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 30/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [12:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 30/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [12:00:00 30/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 30/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 30/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [12:00:00 30/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 30/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 30/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: V Paced st: NotStopd t0: [12:00:00 30/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 30/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 30/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [12:00:00 30/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [12:00:00 30/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 30/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [12:00:00 30/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 30/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [12:00:00 30/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [12:00:00 30/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 30/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 30/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 30/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 30/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [12:00:00 30/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 30/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [12:00:00 30/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 30/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [12:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 30/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 30/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 30/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 30/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 30/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 30/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 30/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [12:00:00 30/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 30/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [12:00:00 30/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 30/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [12:00:00 30/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [12:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [12:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [12:00:00 30/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 0 vu: ml nb: 1 t0: [12:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [12:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/12/2010] tf: [17:05:00 31/12/2010] dt: 1745 id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [13:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [13:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 48 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [13:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [13:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [14:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [14:00:00 30/12/2010] tf: [17:05:00 31/12/2010] dt: 1625 id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [14:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [13:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [14:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [14:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [14:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [14:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [14:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [14:00:00 30/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [14:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [14:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 30/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 30/12/2010] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [14:00:00 30/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 30/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [14:00:00 30/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [14:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 30/12/2010] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 30/12/2010] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 30/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 22 ap: carryForward
t0: [15:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [15:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [15:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [15:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [15:00:00 30/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 4 vu: ml t0: [15:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [15:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 30/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [16:00:00 30/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [16:00:00 30/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [16:00:00 30/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 30/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 30/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 30/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 30/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 30/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [16:00:00 30/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 30/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 30/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:00:00 30/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [16:00:00 30/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 30/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 30/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [16:00:00 30/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 93 u1: % st: NotStopd t0: [16:00:00 30/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 716 u1: ml/B st: NotStopd t0: [16:00:00 30/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 30/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 30/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 30/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 30/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [16:00:00 30/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 30/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 30/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 30/12/2010] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 30/12/2010] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 30/12/2010] id: Trach Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [16:00:00 30/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [16:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [16:00:00 30/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 30/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [16:00:00 30/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [16:00:00 30/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 30/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 30/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 6 u1: points st: NotStopd t0: [16:00:00 30/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 30/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [16:00:00 30/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 30/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [16:00:00 30/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [16:00:00 30/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 30/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [16:00:00 30/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 30/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 30/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 30/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [16:00:00 30/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Bleeding Gum st: NotStopd t0: [16:00:00 30/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 30/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [16:00:00 30/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 30/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 45 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [16:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 30/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 30/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 30/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 30/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 30/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 30/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 30/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 30/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2778 u1: Deg. C st: NotStopd t0: [16:00:00 30/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.5 u1: Deg. F st: NotStopd t0: [16:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 30/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 30/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 30/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 30/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 30/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [16:00:00 30/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [16:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 92 vu: ml t0: [16:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 16.0312 vu: ml t0: [16:00:00 30/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 4 vu: ml t0: [16:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 6.75 vu: ml
t0: [16:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [17:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/12/2010] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 30/12/2010] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [17:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 43 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [17:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [17:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 93 u1: % st: NotStopd t0: [17:00:00 30/12/2010] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Fair st: NotStopd t0: [17:00:00 30/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [18:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [18:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 42 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [18:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [18:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [18:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [18:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [18:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [18:00:00 30/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [18:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [18:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [20:00:00 30/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [20:00:00 30/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [20:00:00 30/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 30/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 30/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [20:00:00 30/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 30/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 30/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 30/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [20:00:00 30/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 30/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 30/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 30/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [20:00:00 30/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 30/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 30/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 30/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 30/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 30/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 30/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [20:00:00 30/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 30/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 30/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 30/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 30/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 30/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 30/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 30/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 30/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 30/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [20:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 41 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [20:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [20:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 30/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 30/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [20:00:00 30/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [20:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 30/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [20:00:00 30/12/2010] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 30/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [20:00:00 30/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 30/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 30/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [20:00:00 30/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 30/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 30/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [20:00:00 30/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 30/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [20:00:00 30/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [20:00:00 30/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [20:00:00 30/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [20:00:00 30/12/2010] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 30/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 30/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 30/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 30/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 30/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 30/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/12/2010] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [20:00:00 30/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 30/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 30/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 30/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 30/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 30/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 30/12/2010] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 30/12/2010] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 30/12/2010] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 30/12/2010] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 30/12/2010] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 30/12/2010] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 7 u1: number st: NotStopd t0: [20:00:00 30/12/2010] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [20:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [20:00:00 30/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [20:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [22:00:00 30/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 30/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 30/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 30/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [22:00:00 30/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 30/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [22:00:00 30/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 37 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [22:00:00 30/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [22:00:00 30/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 30/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 30/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 30/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 30/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 30/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 30/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [22:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [22:00:00 30/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [22:00:00 30/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [22:00:00 30/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 30/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 31/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [00:00:00 31/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [00:00:00 31/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [00:00:00 31/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 31/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 31/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 31/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 31/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 31/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [00:00:00 31/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 31/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 31/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 31/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [00:00:00 31/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 31/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 31/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 31/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 31/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 31/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 31/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 719 u1: ml/B st: NotStopd t0: [00:00:00 31/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 31/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 31/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 31/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 31/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 31/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 31/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 31/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 30/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [22:00:00 30/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 30/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [22:00:00 30/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 30/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [22:00:00 30/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 30/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 30/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 30/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 30/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 30/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 30/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 30/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [00:00:00 31/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 31/12/2010] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Very Sedated st: NotStopd t0: [00:00:00 31/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [00:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 31/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 31/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 31/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 31/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 31/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 31/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [00:00:00 31/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 31/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 31/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [00:00:00 31/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 31/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [00:00:00 31/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [00:00:00 31/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 31/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 31/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 31/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [00:00:00 31/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 31/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 36 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [00:00:00 31/12/2010] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [00:00:00 31/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 31/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 31/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 31/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 7 u1: BPM st: NotStopd t0: [00:00:00 31/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 31/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 80 u1: % st: NotStopd t0: [00:00:00 31/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 31/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 31/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [00:00:00 31/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [00:00:00 31/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 31/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 31/12/2010] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Sludge st: NotStopd t0: [00:00:00 31/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 31/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 31/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [00:00:00 31/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [00:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [00:00:00 31/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [00:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [00:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/12/2010] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 31/12/2010] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 10 ap: none t0: [23:00:00 31/12/2010] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 10 ap: none
t0: [00:00:00 31/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [00:00:00 31/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [00:00:00 31/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 31/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [02:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 31/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [02:00:00 31/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [02:00:00 31/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 31/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [02:00:00 31/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 31/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 31/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 31 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [02:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [02:00:00 31/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 31/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 31/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [02:00:00 31/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [02:00:00 31/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [02:00:00 31/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 31/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [02:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 31/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 31/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 31/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [02:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [02:00:00 31/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [02:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [02:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/12/2010] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 31/12/2010] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 841.375 ap: none t0: [23:00:00 31/12/2010] dt: 24 id: IV Nutrition Total el: 3 cu: C-SICU cg: RN cv: 1104 ap: none t0: [23:00:00 31/12/2010] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 1945.38 ap: none t0: [23:00:00 31/12/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 1935.38 ap: none t0: [23:00:00 31/12/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 145823 ap: carryForward
t0: [02:00:00 31/12/2010] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 31/12/2010] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 31/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [04:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 31/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 31/12/2010] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [04:00:00 31/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 31/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 31/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 31/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 31/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 31/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [04:00:00 31/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 31/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [04:00:00 31/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [04:00:00 31/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [04:00:00 31/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [04:00:00 31/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 31/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [04:00:00 31/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 31/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [04:00:00 31/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 31/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 31/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 31/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [04:00:00 31/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 31/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [04:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [04:00:00 31/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 31/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 31/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [04:00:00 31/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 31/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 31/12/2010] id: SpO2 el: 0 cu: C-SICU cg: RN u1: % st: NotStopd t0: [04:00:00 31/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 31/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 31/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [04:00:00 31/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/12/2010] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 31/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 31/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [04:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [04:00:00 31/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [04:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [04:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:18:00 31/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [04:18:00 31/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [04:18:00 31/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [04:18:00 31/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:18:00 31/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:18:00 31/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:18:00 31/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:18:00 31/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:18:00 31/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:18:00 31/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [04:18:00 31/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [04:18:00 31/12/2010] id: MDI #1 (Puff/Drug) el: 0 cu: C-SICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:18:00 31/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:18:00 31/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:18:00 31/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:18:00 31/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:18:00 31/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [04:18:00 31/12/2010] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:18:00 31/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:18:00 31/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:18:00 31/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:18:00 31/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:18:00 31/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:18:00 31/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 711 u1: ml/B st: NotStopd t0: [04:18:00 31/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:18:00 31/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:18:00 31/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [04:18:00 31/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [04:18:00 31/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [04:18:00 31/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:18:00 31/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:18:00 31/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 31/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 31/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [06:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [06:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 31/12/2010] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [06:00:00 31/12/2010] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 31/12/2010] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [06:00:00 31/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 31/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Dampened st: NotStopd t0: [06:00:00 31/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 31/12/2010] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 31/12/2010] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [06:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [06:00:00 31/12/2010] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 31/12/2010] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [06:00:00 31/12/2010] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 31/12/2010] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 31/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [06:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [06:00:00 31/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [06:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [06:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [08:00:00 31/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [08:00:00 31/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [08:00:00 31/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 31/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 31/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 31/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 31/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 31/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [08:00:00 31/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 31/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 31/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [08:00:00 31/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 31/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 31/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 31/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 31/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 31/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 684 u1: ml/B st: NotStopd t0: [08:00:00 31/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 31/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 31/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 31/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 31/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 31/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 31/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 31/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 31/12/2010] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 31/12/2010] id: INV#3Chg o/Wire Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 31/12/2010] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/12/2010] id: Diet Type el: 0 cu: C-SICU cg: RN v1: TPN st: NotStopd t0: [08:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2010] id: Edema Location/Amt#1 el: 0 cu: C-SICU cg: RN v1: General v2: Anasarca st: NotStopd t0: [08:00:00 31/12/2010] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 31/12/2010] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 31/12/2010] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 31/12/2010] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 31/12/2010] id: GI Intub #2/Site el: 0 cu: C-SICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 31/12/2010] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Low Cont Suction st: NotStopd t0: [08:00:00 31/12/2010] id: GI#2 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [08:00:00 31/12/2010] id: Height of Bed el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#3 Site Date el: 0 cu: C-SICU cg: RN v1: 11 v2: 12 st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 11 v2: 11 st: NotStopd t0: [08:00:00 31/12/2010] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/12/2010] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Firm st: NotStopd t0: [08:00:00 31/12/2010] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 31/12/2010] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: RN v1: Edema/Swelling st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: RN v1: Yellow v2: Large st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [08:00:00 31/12/2010] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: RN v1: Yellow st: NotStopd t0: [08:00:00 31/12/2010] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 31/12/2010] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 31/12/2010] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/12/2010] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/12/2010] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 31/12/2010] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 31/12/2010] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 31/12/2010] id: Pacemaker Mode el: 0 cu: C-SICU cg: RN v1: AV Asynchronous st: NotStopd t0: [08:00:00 31/12/2010] id: Pacemaker Type el: 0 cu: C-SICU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 31/12/2010] id: Pacer Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [08:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [08:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 31/12/2010] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/12/2010] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/12/2010] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 31/12/2010] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 31/12/2010] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 31/12/2010] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 31/12/2010] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 31/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [08:00:00 31/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [08:00:00 31/12/2010] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/12/2010] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 31/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 31/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [08:00:00 31/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [08:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [08:00:00 31/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [08:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [08:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [21:00:00 31/12/2010] pt: TPN
t0: [10:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [10:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 33 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [10:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [10:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/12/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 31/12/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 10 vu: ml t0: [10:00:00 31/12/2010] id: TPN w/Lipids 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: -1 vo: 184 vu: ml t0: [10:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 32mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 32.0625 vu: ml t0: [10:00:00 31/12/2010] id: D5W 100.0ml + 50mghr Dilaudid IV Drips el: 1 cu: C-SICU cg: RN ai: 305 vo: 8 vu: ml t0: [10:00:00 31/12/2010] id: .9% Normal Saline 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: C-SICU cg: RN ai: 115 vo: 13.5 vu: ml
t0: [10:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 31/12/2010] id: Trach Insert Date el: 0 cu: C-SICU cg: RRT v1: 11 v2: 9 st: NotStopd t0: [12:00:00 31/12/2010] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [12:00:00 31/12/2010] id: Cuff Leak el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [12:00:00 31/12/2010] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 31/12/2010] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 31/12/2010] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 31/12/2010] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 31/12/2010] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 31/12/2010] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 31/12/2010] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 9 v2: 2 st: NotStopd t0: [12:00:00 31/12/2010] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 31/12/2010] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 31/12/2010] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [12:00:00 31/12/2010] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 31/12/2010] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 31/12/2010] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 31/12/2010] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 31/12/2010] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 31/12/2010] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 31/12/2010] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 31/12/2010] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 31/12/2010] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 685 u1: ml/B st: NotStopd t0: [12:00:00 31/12/2010] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 31/12/2010] id: Trach Cuff/Fenestra el: 0 cu: C-SICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 31/12/2010] id: Trach Size el: 0 cu: C-SICU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 31/12/2010] id: Tracheostomy Cuff el: 0 cu: C-SICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 31/12/2010] id: Tracheostomy Type el: 0 cu: C-SICU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 31/12/2010] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 31/12/2010] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 31/12/2010] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [12:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 32 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [12:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [12:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 31/12/2010] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 31/12/2010] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.2778 u1: Deg. C st: NotStopd t0: [12:00:00 31/12/2010] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 95.5 u1: Deg. F st: NotStopd t0: [12:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [14:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [14:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 34 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [14:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [14:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [15:00:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:00:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 31/12/2010] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 31/12/2010] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: AV Paced st: NotStopd t0: [15:00:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 25 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [15:00:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [15:00:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 31/12/2010] id: Service Type el: 0 cu: C-SICU cg: RN v1: CSICU st: NotStopd t0: [15:30:00 31/12/2010] id: CVP el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:30:00 31/12/2010] id: Code Status el: 0 cu: C-SICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:30:00 31/12/2010] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 31/12/2010] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:30:00 31/12/2010] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [15:30:00 31/12/2010] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:30:00 31/12/2010] id: Precautions el: 0 cu: C-SICU cg: RN v1: Contact st: NotStopd t0: [15:30:00 31/12/2010] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:30:00 31/12/2010] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/12/2010] id: Levophed-k el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.38 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/12/2010] id: Dilaudid el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:30:00 31/12/2010] id: Heparin el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/12/2010] id: Dopamine el: 2 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip